| Dental Associates Of Florida (lutz), Pllc | |
|
23641 State Road 54 Lutz FL 33559-7306 | |
| (813) 343-4649 | |
| Not Available |
| Full Name | Dental Associates Of Florida (lutz), Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 23641 State Road 54, Lutz, Florida |
| Authorized Official Name and Position | Stephanie Gomez (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 3052742499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Associates Of Florida (lutz), Pllc 23641 State Road 54 Lutz FL 33559-7306 Ph: (813) 343-4649 | Dental Associates Of Florida (lutz), Pllc 23641 State Road 54 Lutz FL 33559-7306 Ph: (813) 343-4649 |
| NPI Number | 1861956070 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 01/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861956070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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