| Lutz Dentist Office, Pa | |
|
17661 Harper's Run Lutz FL 33558 | |
| (813) 337-7478 | |
| (813) 367-9887 |
| Full Name | Lutz Dentist Office, Pa |
|---|---|
| Speciality | Dentist |
| Location | 17661 Harper's Run, Lutz, Florida |
| Authorized Official Name and Position | Minh Pham (OWNER) |
| Authorized Official Contact | 8133377478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutz Dentist Office, Pa Po Box 920050 Dallas TX 75392-0050 Ph: () - | Lutz Dentist Office, Pa 17661 Harper's Run Lutz FL 33558 Ph: (813) 337-7478 |
| NPI Number | 1467134213 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 08/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467134213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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