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Organization
THE TOOTH DOCTOR
Active
Organization
THE TOOTH DOCTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA MARTINEZ DMD, MPH (DENTIST/PRESIDENT)
(813) 605-2573
Entity
Organization
Contact information
Practice address
4213 S MANHATTAN AVE, TAMPA, FL 33611-1301
(321) 446-5047
Mailing address
4213 S MANHATTAN AVE, TAMPA, FL 33611-1301
(813) 605-2573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000975600
—
FL
Enumeration date
10/20/2014
Last updated
06/25/2015
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