Organization
MONTICCIOLO FAMILY AND SEDATION DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT JOSEPH MONTICCIOLO DDS,MBA (OWNER/DR.)
(727) 422-2801
Entity
Organization
Contact information
Practice address
8327 W HILLSBOROUGH AVE, TAMPA, FL 33615-3805
(813) 885-3345
(813) 885-3117
Mailing address
8327 W HILLSBOROUGH AVE, TAMPA, FL 33615-3805
(813) 885-3345
(813) 885-3117
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
014899
FL
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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