| Na | |
|
7499 Dr Ml King Jr St N St Petersburg FL 33702-5203 | |
| (727) 616-8862 | |
| (727) 362-4771 |
| Full Name | Na |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 7499 Dr Ml King Jr St N, St Petersburg, Florida |
| Authorized Official Name and Position | Michael Wayne Rowe (OWNER) |
| Authorized Official Contact | 7273277151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Na 5121 Ehrlich Rd Ste 110b Tampa FL 33624-2072 Ph: (727) 616-8862 | Na 7499 Dr Ml King Jr St N St Petersburg FL 33702-5203 Ph: (727) 616-8862 |
| NPI Number | 1861267676 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861267676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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