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Organization
LILLYBASH DENTAL STUDIO PLLC
Active
Organization
LILLYBASH DENTAL STUDIO PLLC
Active
Other names
Monaco Dentistry of Riverview
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANOOSH SHIRAVAND AMROOEI DMD (OWNER/ DOCTOR)
(813) 203-5291
Entity
Organization
Contact information
Practice address
11280 BOYETTE RD, SUIT #101, RIVERVIEW, FL 33569
(813) 567-3333
Mailing address
4312 W SYLVAN RAMBLE ST, TAMPA, FL 33609-4316
(813) 203-5291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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