Edward Jordan Tarver IV DMD

NPI 1093750630 - Dentist - 1223P0221X

NPI Details
NPI 1093750630
Gender Male
Enumeration Date 06/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1111 PARKWAY FRONTAGE RD N
LAKELAND FL, 33803, US
Phone (863) 644-2408
Fax
Business Location
1111 PARKWAY FRONTAGE RD N
LAKELAND FL, 33803, US
Phone (863) 644-2408
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Florida
License Number DN17195
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According to our database, Dr. Edward Jordan Tarver IV DMD NPI is 1093750630, taxonomy code is 1223P0221X and license number is DN17195, license state is located at Florida. Edward Jordan Tarver IV DMD physically located at 1111 Parkway Frontage Rd N, Lakeland FL, 33803. NPI Number Edward Jordan Tarver IV DMD has the Individual type.

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1093750630 NPI number is provided on an as is basis without warranty of any kind. 1093750630 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Jordan Tarver IV DMD are for informational purposes only.