Individual
JOHN DAVID DOS PASSOS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2114 W BRANDON BLVD, BRANDON, FL 33511-4704
(813) 793-7976
(813) 574-6139
Mailing address
5526 TUGHILL DR, TAMPA, FL 33624-4878
(813) 416-3022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073589200
—
FL
Enumeration date
01/11/2006
Last updated
10/13/2023
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