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Organization
THE DENTAL WALK-IN CLINIC OF TAMPA BAY
Active
Organization
THE DENTAL WALK-IN CLINIC OF TAMPA BAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN P HOLMES (OPERATIONS MANAGER)
(813) 636-9400
Entity
Organization
Contact information
Practice address
4240 W KENNEDY BLVD, TAMPA, FL 33609-2231
(813) 636-9400
Mailing address
4240 W KENNEDY BLVD, TAMPA, FL 33609-2231
(813) 636-9400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15675
FL
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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