Organization
DENTAL ASSOCIATES OF TAMPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL G BLEDSOE (OPERATIONS ASSISTANT)
(863) 510-5960
Entity
Organization
Contact information
Practice address
1311 W BUSCH BLVD, TAMPA, FL 33612-7709
(813) 898-2888
Mailing address
1311 W BUSCH BLVD, TAMPA, FL 33612-7709
(813) 898-2888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17074
FL
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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