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Organization

PAN DENTAL SERVICES PLLC

Active
Other names
Pine Avenue Smiles
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE PAN RN (OFFICE MANAGER)
(813) 855-1007
Entity
Organization

Contact information

Practice address
190 PINE AVE N, OLDSMAR, FL 34677-4629
(813) 855-1007
(813) 855-1009
Mailing address
190 PINE AVE N, OLDSMAR, FL 34677-4629
(813) 855-1007
(813) 855-1009

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/09/2023
Last updated
08/09/2023
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