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Organization
OLDSMAR DENTAL, PLLC
Active
Organization
OLDSMAR DENTAL, PLLC
Active
Other names
Oldsmar Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI ELIZABETH BURCHELL DMD (DOCTOR/OWNER)
(813) 855-4269
Entity
Organization
Contact information
Practice address
4050 TAMPA RD, OLDSMAR, FL 34677-3205
(813) 855-4269
(813) 855-4277
Mailing address
4050 TAMPA RD, OLDSMAR, FL 34677-3205
(813) 855-4269
(813) 855-4277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18371
FL
122300000X
Dentist
DN8894
FL
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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