| Sylmar Family Dental Practice Corp | |
|
15283 Amberly Dr Tampa FL 33647-2155 | |
| (813) 898-2523 | |
| Not Available |
| Full Name | Sylmar Family Dental Practice Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15283 Amberly Dr, Tampa, Florida |
| Authorized Official Name and Position | Alexis J Gutierrez Diaz (PRESIDENT) |
| Authorized Official Contact | 8183844120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sylmar Family Dental Practice Corp 15283 Amberly Dr Tampa FL 33647-2155 Ph: (813) 898-2523 | Sylmar Family Dental Practice Corp 15283 Amberly Dr Tampa FL 33647-2155 Ph: (813) 898-2523 |
| NPI Number | 1871181354 |
|---|---|
| Provider Enumeration Date | 01/09/2021 |
| Last Update Date | 01/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871181354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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