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Organization

ENDODONTIC ASSOCIATES OF TAMPA PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAED S AL KASEM D.D.S.,M.S. (PRESIDENT)
(727) 796-2183
Entity
Organization

Contact information

Practice address
11940 SHELDON RD, TAMPA, FL 33626-3643
(727) 796-2183
(727) 726-8827
Mailing address
3165 N MCMULLEN BOOTH RD STE 2, CLEARWATER, FL 33761-2032
(727) 796-2183
(727) 726-8827

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Enumeration date
08/27/2014
Last updated
08/27/2014
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