Tampa Bay Dental Sleep Therapy, Llc | |
330 S Line Ave Inverness FL 34452-4606 | |
(813) 690-1736 | |
Not Available |
Full Name | Tampa Bay Dental Sleep Therapy, Llc |
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Speciality | Clinic/center - Dental |
Location | 330 S Line Ave, Inverness, Florida |
Authorized Official Name and Position | Fadi Y Fares (OWNER) |
Authorized Official Contact | 8136901736 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tampa Bay Dental Sleep Therapy, Llc 12948 Seronera Valley Ct Spring Hill FL 34610-7667 Ph: (813) 690-1736 | Tampa Bay Dental Sleep Therapy, Llc 330 S Line Ave Inverness FL 34452-4606 Ph: (813) 690-1736 |
NPI Number | 1033549266 |
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Provider Enumeration Date | 11/25/2013 |
Last Update Date | 11/25/2013 |
Identifier | Type | State | Issuer |
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1033549266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DN15084 (Florida) | Primary |
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