Organization
SKYLIGHT DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LICETTE F ESPINAL DDS (GENERAL DENTIST)
(813) 530-0991
Entity
Organization
Contact information
Practice address
117 N. OAKWOOD AVENUE, BRANDON, FL 33510
(813) 530-0991
(813) 530-0986
Mailing address
117 N. OAKWOOD AVENUE, BRANDON, FL 33510
(813) 530-0991
(813) 530-0986
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN19212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003256800
—
FL
Enumeration date
07/24/2015
Last updated
07/24/2015
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