Individual
AMELIA MERCEDES CACERES TEJADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1942 HIGHLAND OAKS BLVD STE B, LUTZ, FL 33559-7410
(813) 235-4143
Mailing address
340 W ROSS AVE APT 311, TAMPA, FL 33602-2062
(239) 246-6012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN23082
FL
Other
Enumeration date
11/18/2017
Last updated
09/11/2024
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