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Organization
PAN DENTAL SERVICES PLLC
Active
Organization
PAN DENTAL SERVICES PLLC
Active
Other names
Pine Avenue Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PAN RN (OFFICE MANAGER)
(813) 855-1007
Entity
Organization
Contact information
Practice address
190 PINE AVE N, OLDSMAR, FL 34677-4629
(813) 855-1007
(813) 855-1009
Mailing address
190 PINE AVE N, OLDSMAR, FL 34677-4629
(813) 855-1007
(813) 855-1009
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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