| Pine Avenue Smiles | |
|
190 Pine Ave N Oldsmar FL 34677-4629 | |
| (813) 855-1007 | |
| (813) 855-1009 |
| Full Name | Pine Avenue Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 190 Pine Ave N, Oldsmar, Florida |
| Authorized Official Name and Position | Michelle Pan (OFFICE MANAGER) |
| Authorized Official Contact | 8138551007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Avenue Smiles 190 Pine Ave N Oldsmar FL 34677-4629 Ph: (813) 855-1007 | Pine Avenue Smiles 190 Pine Ave N Oldsmar FL 34677-4629 Ph: (813) 855-1007 |
| NPI Number | 1407539133 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 08/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407539133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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