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912 Channelside Dr Suite 2102 Tampa FL 33602-4229 | |
| (813) 906-6737 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 912 Channelside Dr, Tampa, Florida |
| Authorized Official Name and Position | Monica Sanchez-diu (OWNER) |
| Authorized Official Contact | 8139066737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
912 Channelside Dr Suite 2102 Tampa FL 33602-4229 Ph: (813) 906-6737 | 912 Channelside Dr Suite 2102 Tampa FL 33602-4229 Ph: (813) 906-6737 |
| NPI Number | 1841655610 |
|---|---|
| Provider Enumeration Date | 12/22/2015 |
| Last Update Date | 12/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841655610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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