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Organization
DENTALMED INC
Active
Organization
DENTALMED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST RODRIGUEZ (DIRECTOR)
(813) 872-9605
Entity
Organization
Contact information
Practice address
2203 N LOIS AVE, STE 955, TAMPA, FL 33607-2370
(813) 872-9605
(813) 876-9895
Mailing address
2203 N LOIS AVE, STE 955, TAMPA, FL 33607-2370
(813) 872-9605
(813) 876-9895
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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