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Organization
WEST WATERS DENTAL
Active
Organization
WEST WATERS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDOLPH LEVI TWIGGS DMD (DENTIST)
(813) 933-6825
Entity
Organization
Contact information
Practice address
1804 W WATERS AVE, TAMPA, FL 33604-1004
(813) 933-6825
(813) 930-7346
Mailing address
1804 W WATERS AVE, TAMPA, FL 33604-1004
(813) 933-6825
(813) 930-7346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN8291
FL
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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