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Organization
MCD DENTISTRY, PA
Active
Organization
MCD DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY COLE (PROVIDER RELATIONS MANAGER)
(866) 273-8204
Entity
Organization
Contact information
Practice address
12813 N DALE MABRY HWY, TAMPA, FL 33618-2803
(813) 962-1400
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19664
FL
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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