Cross Creek Orthodontics | |
20717 Center Oak Dr Tampa FL 33647-3551 | |
(813) 929-3361 | |
(813) 929-3681 |
Full Name | Cross Creek Orthodontics |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 20717 Center Oak Dr, Tampa, Florida |
Authorized Official Name and Position | Steven V Dau (OWNER) |
Authorized Official Contact | 8139293361 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cross Creek Orthodontics 20717 Center Oak Dr Tampa FL 33647-3551 Ph: (813) 929-3361 | Cross Creek Orthodontics 20717 Center Oak Dr Tampa FL 33647-3551 Ph: (813) 929-3361 |
NPI Number | 1881741569 |
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Provider Enumeration Date | 01/04/2007 |
Last Update Date | 04/01/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881741569 | NPI | - | NPPES |
075883300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN-15955 (Florida) | Primary |
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