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Organization
TIOGA DENTAL & ORTHODONTICS, PLLC
Active
Organization
TIOGA DENTAL & ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOMEZ (CREDENTIALING SUPERVISOR)
(305) 274-2499
Entity
Organization
Contact information
Practice address
13005 SW 1ST RD STE 233, GAINESVILLE, FL 32669-3266
(352) 333-1946
Mailing address
13005 SW 1ST RD STE 233, GAINESVILLE, FL 32669-3266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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