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Organization
WEST PARK VILLAGE DENTAL ASSOCIATES INC
Active
Organization
WEST PARK VILLAGE DENTAL ASSOCIATES INC
Active
Other names
Siamak Rafieian DDS William Campbell DMD
Organization subpart
No
Provider details
NPI number
Authorized official
SIAMAK RAFIEIAN DDS (OWNER DENTIST)
(813) 920-9144
Entity
Organization
Contact information
Practice address
9914 W LINEBAUGH AVE, TAMPA, FL 33626
(813) 920-9144
(813) 920-9155
Mailing address
9914 W LINEBAUGH AVE, TAMPA, FL 33626
(813) 920-9144
(813) 920-9155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13918
FL
122300000X
Dentist
DN3904
FL
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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