| Theodore Edward David Peters, Dds,pa | |
|
508 S Habana Ave Suite 110 Tampa FL 33609-4181 | |
| (813) 870-1220 | |
| (813) 870-2615 |
| Full Name | Theodore Edward David Peters, Dds,pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 508 S Habana Ave, Tampa, Florida |
| Authorized Official Name and Position | Theodore Edward David Peters (SURGEON) |
| Authorized Official Contact | 8138701220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Edward David Peters, Dds,pa 508 S Habana Ave Suite 110 Tampa FL 33609-4181 Ph: (813) 870-1220 | Theodore Edward David Peters, Dds,pa 508 S Habana Ave Suite 110 Tampa FL 33609-4181 Ph: (813) 870-1220 |
| NPI Number | 1255501342 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255501342 | NPI | - | NPPES |
| 1457342750 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13473 (Florida) | Primary |
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