Organization
ONE ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO CARIBAS MENDIBLE DDS (ORAL SURGEON)
(813) 553-5344
Entity
Organization
Contact information
Practice address
3012 ALLEGRA WAY, LUTZ, FL 33559
(813) 553-5344
Mailing address
3425 DIAMOND FALLS CIR, LAND O LAKES, FL 34638-6205
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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