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Organization
NORTHEAST DENTAL CARE
Active
Organization
NORTHEAST DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT OVERTON BERSOT DMD (OWNER)
(813) 978-1090
Entity
Organization
Contact information
Practice address
13905 BRUCE B DOWNS BLVD, SUITE A, TAMPA, FL 33613-3905
(813) 978-1090
Mailing address
13905 BRUCE B DOWNS BLVD, SUITE A, TAMPA, FL 33613-3905
(813) 978-1090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10448
FL
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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