Organization
DENTAL ARTS NINTH STREET P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CROUCH (BUSINESS MANAGER)
(321) 872-8820
Entity
Organization
Contact information
Practice address
7451 9TH ST N, ST PETERSBURG, FL 33702-5203
(727) 522-2222
Mailing address
9180 OAKHURST RD STE 3, SEMINOLE, FL 33776-2161
(321) 872-8820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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