Organization
LFID HOLDINGS PLLC
Active
Other names
Bespoke Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARIK ELMOHD DMD (ORAL & MAXILLOFACIAL SURGEON/OWNER)
(813) 528-1787
Entity
Organization
Contact information
Practice address
18713 N DALE MABRY HWY STE B, LUTZ, FL 33548-4979
(813) 807-4902
(813) 807-4902
Mailing address
18713 N DALE MABRY HWY STE B, LUTZ, FL 33548-4979
(813) 807-4902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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