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Organization
PERIORAGE PLLC
Active
Organization
PERIORAGE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE KUO DDS (PRESIDENT)
(813) 468-8882
Entity
Organization
Contact information
Practice address
4450 E FLETCHER AVE STE B, TAMPA, FL 33613-4907
(813) 468-8882
Mailing address
4450 E FLETCHER AVE STE B, TAMPA, FL 33613-4907
(813) 468-8882
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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