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Organization
SIGNATURE SMILES OF TAMPA, PLLC
Active
Organization
SIGNATURE SMILES OF TAMPA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHANTIL R. SHAH DMD (EMPLOYEE)
(813) 302-9282
Entity
Organization
Contact information
Practice address
3814 WEST BAY VISTA AVE, TAMPA, FL 33611-1226
(813) 302-9282
(813) 302-9342
Mailing address
3814 WEST BAY VISTA AVE, TAMPA, FL 33611-1226
(813) 302-9282
(813) 302-9342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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