Organization
TERSA OAFS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES GUERRA ANDRADE DMD (PRESIDENT)
(813) 528-5471
Entity
Organization
Contact information
Practice address
4675 VAN DYKE RD STE A, LUTZ, FL 33558-4880
(813) 437-9710
Mailing address
4675 VAN DYKE RD STE A, LUTZ, FL 33558-4880
(813) 437-9710
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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