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Organization
PROACTIVE DENTAL LLC
Active
Organization
PROACTIVE DENTAL LLC
Active
Other names
A CARING DENTIST
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAITRY PATEL DMD (OWNER)
(813) 968-7228
Entity
Organization
Contact information
Practice address
11017 N DALE MABRY HWY STE A, TAMPA, FL 33618-3873
(813) 968-7228
(813) 960-3009
Mailing address
11017 N DALE MABRY HWY STE A, TAMPA, FL 33618-3873
(813) 968-7228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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