Esthetic & Integrative Dentistry | |
390 4th St N Ste 101 St Petersburg FL 33701-2802 | |
(737) 282-1980 | |
Not Available |
Full Name | Esthetic & Integrative Dentistry |
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Speciality | Dentist - General Practice |
Location | 390 4th St N Ste 101, St Petersburg, Florida |
Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175406078 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Esthetic & Integrative Dentistry 390 4th St N Ste 101 St Petersburg FL 33701-2802 Ph: () - | Esthetic & Integrative Dentistry 390 4th St N Ste 101 St Petersburg FL 33701-2802 Ph: (737) 282-1980 |
NPI Number | 1811548407 |
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Provider Enumeration Date | 09/25/2019 |
Last Update Date | 11/09/2020 |
Identifier | Type | State | Issuer |
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1811548407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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