Organization
MANG DENTISTRY II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM H TRUONG (MANAGER)
(813) 961-1032
Entity
Organization
Contact information
Practice address
6170 GUNN HWY, TAMPA, FL 33625-4014
(813) 961-1032
Mailing address
6170 GUNN HWY, TAMPA, FL 33625-4014
(813) 961-1032
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16638
FL
122300000X
Dentist
DN19971
FL
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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