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Organization

TEMPLE TERRACE DENTAL P.A.

Active
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Organization

TEMPLE TERRACE DENTAL P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization

Contact information

Practice address
11157 N 56TH ST, TEMPLE TERRACE, FL 33617-2901
(813) 985-2477
Mailing address
11157 N 56TH ST, TEMPLE TERRACE, FL 33617-2901

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—

Other

Enumeration date
03/12/2007
Last updated
01/22/2010
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