Organization
COMPLETE DENTAL CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY LOUISE HANNAH-JONES DMD (PRESIDENT)
(813) 977-4819
Entity
Organization
Contact information
Practice address
11213 N NEBRASKA AVE, SUITE 406C, TAMPA, FL 33612-5775
(813) 977-4819
(813) 977-4568
Mailing address
11213 N NEBRASKA AVE, SUITE 406C, TAMPA, FL 33612-5775
(813) 977-4819
(813) 977-4568
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0012708
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073523001
—
FL
Enumeration date
09/07/2006
Last updated
11/12/2012
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