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20301 Pleasant Plains Pkwy Land O' Lakes FL 34637-6433 | |
(813) 563-4728 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 20301 Pleasant Plains Pkwy, Land O' Lakes, Florida |
Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175405100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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20301 Pleasant Plains Pkwy Land O' Lakes FL 34637-6433 Ph: (813) 527-9601 | 20301 Pleasant Plains Pkwy Land O' Lakes FL 34637-6433 Ph: (813) 563-4728 |
NPI Number | 1326697608 |
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Provider Enumeration Date | 09/09/2019 |
Last Update Date | 11/23/2019 |
Identifier | Type | State | Issuer |
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1326697608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |