Individual
CHRISTINA LYNN REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
13254 STATE ROAD 54, ODESSA, FL 33556-3483
(813) 448-6885
(813) 448-6886
Mailing address
13254 STATE ROAD 54, ODESSA, FL 33556-3483
(813) 448-6885
(813) 448-6886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1857952
MA
122300000X
Dentist
DN23658
FL
1223G0001X
General Practice Dentistry
Primary
DN23658
FL
Other
Enumeration date
05/29/2018
Last updated
12/05/2022
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