| Tabares Dental Pa | |
|
18964 N Dale Mabry Hwy Suite # 101 Lutz FL 33548-4913 | |
| (615) 477-4047 | |
| Not Available |
| Full Name | Tabares Dental Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 18964 N Dale Mabry Hwy, Lutz, Florida |
| Authorized Official Name and Position | Yadnay Tabares (PRESIDENT) |
| Authorized Official Contact | 6154774047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabares Dental Pa 18964 N Dale Mabry Hwy Suite # 101 Lutz FL 33548-4913 Ph: (615) 477-4047 | Tabares Dental Pa 18964 N Dale Mabry Hwy Suite # 101 Lutz FL 33548-4913 Ph: (615) 477-4047 |
| NPI Number | 1144772583 |
|---|---|
| Provider Enumeration Date | 11/02/2016 |
| Last Update Date | 11/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144772583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN20019 (Florida) | Primary |
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