| Dr Nick's White & Healthy, Inc | |
|
4010 W State St Tampa FL 33609 | |
| (813) 445-7162 | |
| (813) 441-1986 |
| Full Name | Dr Nick's White & Healthy, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4010 W State St, Tampa, Florida |
| Authorized Official Name and Position | Gloria A Cort (OFFICE MANAGER) |
| Authorized Official Contact | 8134457162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nick's White & Healthy, Inc 4010 W State St Tampa FL 33609 Ph: (813) 445-7162 | Dr Nick's White & Healthy, Inc 4010 W State St Tampa FL 33609 Ph: (813) 445-7162 |
| NPI Number | 1134754005 |
|---|---|
| Provider Enumeration Date | 03/11/2020 |
| Last Update Date | 03/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134754005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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