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Organization
TAMPA BAY SMILES, INC.
Active
Organization
TAMPA BAY SMILES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON M MOORE D.M.D. (PRESIDENT)
(813) 857-8696
Entity
Organization
Contact information
Practice address
5438 LAND O LAKES BLVD, LAND O LAKES, FL 34639-3413
(813) 929-0996
(813) 929-0996
Mailing address
1307 MERRY WATER DR, LUTZ, FL 33548-4810
(813) 857-8696
(813) 929-0996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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