| All Ages Dental Spa | |
|
11333 Countryway Blvd Tampa FL 33626-2610 | |
| (813) 814-4000 | |
| (813) 814-9933 |
| Full Name | All Ages Dental Spa |
|---|---|
| Speciality | Dentist |
| Location | 11333 Countryway Blvd, Tampa, Florida |
| Authorized Official Name and Position | Maria Beatriz Ribeiro-totzke (PRESIDENT) |
| Authorized Official Contact | 8138144000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All Ages Dental Spa 11333 Countryway Blvd Tampa FL 33626-2610 Ph: (813) 814-4000 | All Ages Dental Spa 11333 Countryway Blvd Tampa FL 33626-2610 Ph: (813) 814-4000 |
| NPI Number | 1932268125 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932268125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN 15588 (Florida) | Primary |
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