| Li'l Sunshine Smiles Dentistry P.a | |
|
12950 Race Track Rd Ste 109 Tampa FL 33626-1304 | |
| (719) 289-1799 | |
| Not Available |
| Full Name | Li'l Sunshine Smiles Dentistry P.a |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12950 Race Track Rd Ste 109, Tampa, Florida |
| Authorized Official Name and Position | Catalina Botero (DDS/PRESIDENT) |
| Authorized Official Contact | 7192891799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Li'l Sunshine Smiles Dentistry P.a 4904 Ebensburg Dr Tampa FL 33647-1381 Ph: (719) 289-1799 | Li'l Sunshine Smiles Dentistry P.a 12950 Race Track Rd Ste 109 Tampa FL 33626-1304 Ph: (719) 289-1799 |
| NPI Number | 1154977528 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 08/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154977528 | NPI | - | NPPES |
| 023572000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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