Organization
CASANOVA & IMHOFF DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY S IMHOFF DMD (VICE PRESIDENT)
(813) 989-2775
Entity
Organization
Contact information
Practice address
11508 N 56TH ST, TAMPA, FL 33617-2239
(813) 989-2775
(813) 985-5980
Mailing address
11508 N 56TH ST, TAMPA, FL 33617-2239
(813) 989-2775
(813) 985-5980
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN11782
FL
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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