| Active Care Endodontics | |
|
1745 S Kings Ave Brandon FL 33511-6220 | |
| (813) 662-9282 | |
| Not Available |
| Full Name | Active Care Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1745 S Kings Ave, Brandon, Florida |
| Authorized Official Name and Position | J. Mauricio Giraldo (OWNER/PRESIDENT) |
| Authorized Official Contact | 8136629282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Care Endodontics 1745 S Kings Ave Brandon FL 33511-6220 Ph: (813) 662-9282 | Active Care Endodontics 1745 S Kings Ave Brandon FL 33511-6220 Ph: (813) 662-9282 |
| NPI Number | 1801332721 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 01/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801332721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN0013539 (Florida) | Primary |
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