Organization
EASY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY TRUONG (MGR)
(215) 353-7097
Entity
Organization
Contact information
Practice address
6170 GUNN HWY, TAMPA, FL 33625-4014
(813) 961-1032
Mailing address
6170 GUNN HWY, TAMPA, FL 33625-4014
(813) 961-1032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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