Individual
JOITA GHOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1502 W FLETCHER AVE STE 117, KEA SMILE STUDIO, TAMPA, FL 33612-3308
(813) 968-6100
Mailing address
12825 CASTLEMAINE DR, TAMPA, FL 33626-4469
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10351
CT
122300000X
Dentist
Primary
DN19609
FL
Other
Enumeration date
08/26/2010
Last updated
08/12/2013
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