Organization
JONATHAN COLUCCI DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN COLUCCI DMD (OWNER)
(630) 380-4521
Entity
Organization
Contact information
Practice address
10330 N DALE MABRY HWY STE 150, TAMPA, FL 33618-4404
(813) 692-6965
Mailing address
10330 N DALE MABRY HWY STE 150, TAMPA, FL 33618-4404
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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