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Organization
PHOENIX DENTAL, PLLC
Active
Organization
PHOENIX DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASROOR AHMED SHARIFF DMD (GENERAL DENTIST)
(813) 419-3808
Entity
Organization
Contact information
Practice address
3415 W FLETCHER AVE, TAMPA, FL 33618-2813
(813) 419-3808
Mailing address
13011 TERRACE BROOK PL, TEMPLE TERRACE, FL 33637-3009
(813) 404-7613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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