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Organization
WESTCHASE DENTAL ASSOCIATES, P.A.
Active
Organization
WESTCHASE DENTAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL A. KIRKWOOD DMD (OWNER)
(813) 818-0600
Entity
Organization
Contact information
Practice address
11369 COUNTRYWAY BLVD, TAMPA, FL 33626-2610
(813) 818-0600
(813) 818-8405
Mailing address
11369 COUNTRYWAY BLVD, TAMPA, FL 33626-2610
(813) 818-0600
(813) 818-8405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014190
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64906
BCBS
FL
01
—
871628
UNITED CONCORDIA
FL
Enumeration date
12/06/2006
Last updated
08/14/2008
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