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Organization
ROBERT M MICHAUD DMD, PA
Active
Organization
ROBERT M MICHAUD DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MICHAEL MICHAUD DMD (PRESIDENT)
(813) 935-3585
Entity
Organization
Contact information
Practice address
1311 W BUSCH BLVD, TAMPA, FL 33612-7709
(813) 935-3585
(813) 930-9211
Mailing address
1311 W BUSCH BLVD, TAMPA, FL 33612-7709
(813) 935-3585
(813) 930-9211
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN17693
FL
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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