MATEO VIDALES

DAVENPORT, FL
NPI1871086405
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  23425)
Enumeration Date2018-06-08
Last Update Date2018-06-08
Business Address
Dr. MATEO VIDALES DMD
7700 LAKE WILSON RD
DAVENPORT, FL 33896-9601
Phone number: 863-420-3166
Mailing Address
Dr. MATEO VIDALES DMD
1640 WISE DR
NORTH PORT, FL 34286-6830
Phone number: 941-408-6601
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