Prosthodontics & Implant Therapy Inc | |
2814 W Waters Ave Tampa FL 33614-1853 | |
(813) 933-6705 | |
Not Available |
Full Name | Prosthodontics & Implant Therapy Inc |
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Speciality | Dentist |
Location | 2814 W Waters Ave, Tampa, Florida |
Authorized Official Name and Position | M Reza Iranmanesh (OWNER) |
Authorized Official Contact | 8139336705 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prosthodontics & Implant Therapy Inc 2814 W Waters Ave Tampa FL 33614-1853 Ph: (813) 933-6705 | Prosthodontics & Implant Therapy Inc 2814 W Waters Ave Tampa FL 33614-1853 Ph: (813) 933-6705 |
NPI Number | 1033664651 |
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Provider Enumeration Date | 08/24/2016 |
Last Update Date | 08/24/2016 |
Identifier | Type | State | Issuer |
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1033664651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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