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Organization
TAMPA BAY DENTAL SLEEP EXCELLENCE PA
Active
Organization
TAMPA BAY DENTAL SLEEP EXCELLENCE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M KERNAGIS D.M.D. (PRESIDENT)
(813) 374-0270
Entity
Organization
Contact information
Practice address
5486 LITHIA PINECREST RD, LITHIA, FL 33547-2853
(813) 571-5555
(813) 571-5559
Mailing address
4307 W JETTON AVE, TAMPA, FL 33629-4904
(813) 374-0270
(813) 374-0272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15191
FL
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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