| Seffner Mango Dental Care | |
|
1012 W Dr Martin Luther King Jr Blvd Seffner FL 33584-4572 | |
| (813) 689-9100 | |
| (813) 653-4990 |
| Full Name | Seffner Mango Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1012 W Dr Martin Luther King Jr Blvd, Seffner, Florida |
| Authorized Official Name and Position | Kurt Kenton Weber (PRESIDENT) |
| Authorized Official Contact | 8136899100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seffner Mango Dental Care 1012 W Dr Martin Luther King Jr Blvd Seffner FL 33584-4572 Ph: (813) 689-9100 | Seffner Mango Dental Care 1012 W Dr Martin Luther King Jr Blvd Seffner FL 33584-4572 Ph: (813) 689-9100 |
| NPI Number | 1568595130 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568595130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10991 (Florida) | Primary |
Bayshore Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 W Dr Martin Luther King Jr Blvd, Ste 2900, Seffner, FL 33584 Phone: 813-330-2006 Fax: 813-438-4928 |