| St. Luke's Dental, Plc. | |
|
1908 Land O Lakes Blvd Suite 3 Lutz FL 33549-2914 | |
| (813) 909-1555 | |
| (813) 909-1556 |
| Full Name | St. Luke's Dental, Plc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1908 Land O Lakes Blvd, Lutz, Florida |
| Authorized Official Name and Position | Daniel Wahba (OWNER) |
| Authorized Official Contact | 8139091555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Dental, Plc. 1908 Land O Lakes Blvd Suite 3 Lutz FL 33549-2914 Ph: (813) 909-1555 | St. Luke's Dental, Plc. 1908 Land O Lakes Blvd Suite 3 Lutz FL 33549-2914 Ph: (813) 909-1555 |
| NPI Number | 1588091250 |
|---|---|
| Provider Enumeration Date | 09/26/2013 |
| Last Update Date | 09/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588091250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN15339 (Florida) | Primary |
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