Organization
DR NICK'S WHITE & HEALTHY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA A CORT (OFFICE MANAGER)
(813) 445-7162
Entity
Organization
Contact information
Practice address
4010 W STATE ST, TAMPA, FL 33609
(813) 445-7162
(813) 441-1986
Mailing address
4010 W STATE ST, TAMPA, FL 33609
(813) 445-7162
(813) 441-1986
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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