| Mang Dentistry Ii Llc | |
|
6170 Gunn Hwy Tampa FL 33625-4014 | |
| (813) 961-1032 | |
| Not Available |
| Full Name | Mang Dentistry Ii Llc |
|---|---|
| Speciality | Dentist |
| Location | 6170 Gunn Hwy, Tampa, Florida |
| Authorized Official Name and Position | Tim H Truong (MANAGER) |
| Authorized Official Contact | 8139611032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mang Dentistry Ii Llc 6170 Gunn Hwy Tampa FL 33625-4014 Ph: (813) 961-1032 | Mang Dentistry Ii Llc 6170 Gunn Hwy Tampa FL 33625-4014 Ph: (813) 961-1032 |
| NPI Number | 1144626136 |
|---|---|
| Provider Enumeration Date | 11/18/2014 |
| Last Update Date | 11/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144626136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN16638 (Florida) | Primary |
| 122300000X | Dentist | DN19971 (Florida) | Secondary |
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