Organization
TAMPA BAY DENTAL SLEEP THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADI Y FARES D.M.D. (OWNER)
(813) 690-1736
Entity
Organization
Contact information
Practice address
330 S LINE AVE, INVERNESS, FL 34452-4606
(813) 690-1736
Mailing address
12948 SERONERA VALLEY CT, SPRING HILL, FL 34610-7667
(813) 690-1736
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN15084
FL
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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