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Organization
UNIFERSITY OF FLORIDA COLLEGE OF DENTISTRY
Active
Organization
UNIFERSITY OF FLORIDA COLLEGE OF DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS PORTER (PROGRAM DIRECTOR)
(352) 273-7800
Entity
Organization
Contact information
Practice address
9200 113TH ST, SEMINOLE, FL 33772-2800
(727) 394-6098
Mailing address
2098 SEMINOLE BLVD APT 7204, LARGO, FL 33778-1731
(941) 225-0421
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN22016
FL
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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