| Jonathan Colucci Dmd Pllc | |
|
10330 N Dale Mabry Hwy Ste 150 Tampa FL 33618-4404 | |
| (813) 692-6965 | |
| Not Available |
| Full Name | Jonathan Colucci Dmd Pllc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 10330 N Dale Mabry Hwy Ste 150, Tampa, Florida |
| Authorized Official Name and Position | Jonathan Colucci (OWNER) |
| Authorized Official Contact | 6303804521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Colucci Dmd Pllc 10330 N Dale Mabry Hwy Ste 150 Tampa FL 33618-4404 Ph: () - | Jonathan Colucci Dmd Pllc 10330 N Dale Mabry Hwy Ste 150 Tampa FL 33618-4404 Ph: (813) 692-6965 |
| NPI Number | 1023848256 |
|---|---|
| Provider Enumeration Date | 08/02/2024 |
| Last Update Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023848256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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