| Bay Area Modern Dentistry Llc | |
|
5299 Park Blvd N Pinellas Park FL 33781-3418 | |
| (727) 547-8227 | |
| Not Available |
| Full Name | Bay Area Modern Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 5299 Park Blvd N, Pinellas Park, Florida |
| Authorized Official Name and Position | Ivo Bushati (DENTIST) |
| Authorized Official Contact | 7275478227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Modern Dentistry Llc 506 20th Ave Ne St Petersburg FL 33704-4622 Ph: (727) 686-1808 | Bay Area Modern Dentistry Llc 5299 Park Blvd N Pinellas Park FL 33781-3418 Ph: (727) 547-8227 |
| NPI Number | 1134702111 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134702111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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