Search › Florida › 122300000X
Mateo Vidales, DMD
NPI 1871086405 · on the registry since 2018
Practice
- Address
- 7700 Lake Wilson Rd
Davenport, FL 33896 - Phone
- (863) 420-3166
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida