Individual
MARK MALTBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5200 N ARMENIA AVE, TAMPA, FL 33603-1408
(813) 354-9424
(813) 849-0211
Mailing address
5200 N ARMENIA AVE, TAMPA, FL 33603-1408
(813) 354-9424
(813) 849-0211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18738
FL
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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