Individual
DERRY HAROLDO CANCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3802 EHRLICH RD, SUITE 208, TAMPA, FL 33624-2378
(813) 968-2099
(813) 960-0174
Mailing address
3802 EHRLICH RD, SUITE 208, TAMPA, FL 33624-2378
(813) 968-2099
(813) 960-0174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0010001
FL
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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