| Tampa Prosth | |
|
7749 Van Dyke Rd Odessa FL 33556-4632 | |
| (561) 866-6482 | |
| Not Available |
| Full Name | Tampa Prosth |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7749 Van Dyke Rd, Odessa, Florida |
| Authorized Official Name and Position | Ngoc Trang Caroline Truong (PROVIDER) |
| Authorized Official Contact | 5618666482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tampa Prosth 7749 Van Dyke Rd Odessa FL 33556-4632 Ph: () - | Tampa Prosth 7749 Van Dyke Rd Odessa FL 33556-4632 Ph: (561) 866-6482 |
| NPI Number | 1669048823 |
|---|---|
| Provider Enumeration Date | 05/28/2021 |
| Last Update Date | 05/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669048823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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