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Organization
ED DE LA PAZ, D.M.D., P.A.
Active
Organization
ED DE LA PAZ, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ED DE LA PAZ D.M.D. (PRESIDENT)
(813) 930-8300
Entity
Organization
Contact information
Practice address
9710 N ARMENIA AVE, SUITE D, TAMPA, FL 33612-7507
(813) 930-8300
(813) 915-1501
Mailing address
9710 N ARMENIA AVE, SUITE D, TAMPA, FL 33612-7507
(813) 930-8300
(813) 915-1501
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN12677
FL
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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