Organization
TAMPA DENTAL PARTNERS LLC
Active
Other names
Advanced Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN ELIKOFER DDS (DENTIST/OWNER)
(812) 568-1195
Entity
Organization
Contact information
Practice address
15303 AMBERLY DR STE D, TAMPA, FL 33647-2308
(813) 972-9077
Mailing address
15303 AMBERLY DR STE D, TAMPA, FL 33647-2308
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
05/11/2022
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