# RENATO J. AVES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tampa Bay Institute of Oral Surgery & Dental Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881394740
- **Authorized official:** JULIE MARIE WANGELIN (COO)
- **Authorized official phone:** (813) 885-6555

## Contact information

- **Practice address:** 19445 SHUMARD OAK DR UNIT 101, LAND O LAKES, FL 34638-7278
- **Practice address phone:** (813) 909-2354
- **Mailing address:** 19445 SHUMARD OAK DR UNIT 101, LAND O LAKES, FL 34638-7278
- **Mailing address phone:** (813) 909-2354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2023
- **Last updated:** 03/09/2023