| NPI | 1497906705 |
|---|---|
| Former Legal Business Name | TAVARES DENTAL EXCELLENCE, LLC |
| Entity Type | Organization |
| Authorized Contact | CHARLES WILLIAM REINERTSEN Owner/Dentist 352-253-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN8245) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2018-02-21 |