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Organization
TIM TIRALOSI D.M.D. LLC
Active
Organization
TIM TIRALOSI D.M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY TIRALOSI DMD (OWNER)
(407) 333-1335
Entity
Organization
Contact information
Practice address
731 STIRLING CENTER PL, SUITE 1951, LAKE MARY, FL 32746-5209
(407) 333-1335
(407) 333-1244
Mailing address
731 STIRLING CENTER PL, SUITE 1951, LAKE MARY, FL 32746-5209
(407) 333-1335
(407) 333-1244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11531
FL
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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