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Organization
TAMPA DENTAL
Active
Organization
TAMPA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK KAVOUKLIS D.D.S. (DENTIST/OWNER)
(813) 888-9004
Entity
Organization
Contact information
Practice address
6421 SHELDON RD, TAMPA, FL 33615-3102
(813) 888-9004
(813) 888-9517
Mailing address
6421 SHELDON RD, TAMPA, FL 33615-3102
(813) 888-9004
(813) 888-9517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/12/2015
Last updated
04/16/2021
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