Organization
SEMINOLE DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHAB SAMIMI D.M.D (OWNER)
(561) 779-6859
Entity
Organization
Contact information
Practice address
9303 SEMINOLE BLVD STE D, SEMINOLE, FL 33772-3100
(561) 779-6859
Mailing address
1204 E CUMBERLAND AVE UNIT 430, TAMPA, FL 33602-4233
(561) 779-6859
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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