| Tim Tiralosi D.m.d. Llc | |
|
731 Stirling Center Pl Suite 1951 Lake Mary FL 32746-5209 | |
| (407) 333-1335 | |
| (407) 333-1244 |
| Full Name | Tim Tiralosi D.m.d. Llc |
|---|---|
| Speciality | Dentist |
| Location | 731 Stirling Center Pl, Lake Mary, Florida |
| Authorized Official Name and Position | Timothy Tiralosi (OWNER) |
| Authorized Official Contact | 4073331335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tim Tiralosi D.m.d. Llc 731 Stirling Center Pl Suite 1951 Lake Mary FL 32746-5209 Ph: (407) 333-1335 | Tim Tiralosi D.m.d. Llc 731 Stirling Center Pl Suite 1951 Lake Mary FL 32746-5209 Ph: (407) 333-1335 |
| NPI Number | 1790137552 |
|---|---|
| Provider Enumeration Date | 07/05/2016 |
| Last Update Date | 07/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790137552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN11531 (Florida) | Primary |
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