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Organization
DENTAL SPECIALTY GROUP OF TAMPA BAY PLLC
Active
Organization
DENTAL SPECIALTY GROUP OF TAMPA BAY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN FERNANDO MESIA DDS, MS (OWNER/PERIODONTIST)
(352) 222-7512
Entity
Organization
Contact information
Practice address
4326 PARK BLVD N STE C-EAST, PINELLAS PARK, FL 33781-3555
(727) 544-5345
(727) 547-8263
Mailing address
4326 PARK BLVD N STE C-EAST, PINELLAS PARK, FL 33781-3555
(727) 544-5345
(727) 547-8263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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