| Cosmetic Dental Operations, Pllc | |
|
4001 16th St N St Petersburg FL 33703-5605 | |
| (727) 527-2000 | |
| Not Available |
| Full Name | Cosmetic Dental Operations, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4001 16th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Derek Espino (OWNER) |
| Authorized Official Contact | 8132955268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmetic Dental Operations, Pllc 9332 Balm Riverview Rd Riverview FL 33569-5104 Ph: (813) 677-1177 | Cosmetic Dental Operations, Pllc 4001 16th St N St Petersburg FL 33703-5605 Ph: (727) 527-2000 |
| NPI Number | 1841020138 |
|---|---|
| Provider Enumeration Date | 08/02/2024 |
| Last Update Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841020138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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