Organization
BLUE WAVE ORTHO PARTNERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON CALLAGHAN (INSURANCE COORDINATOR)
(813) 968-2483
Entity
Organization
Contact information
Practice address
1773 W FLETCHER AVE, TAMPA, FL 33612-1820
(813) 968-2483
Mailing address
1773 W FLETCHER AVE, TAMPA, FL 33612-1820
(813) 968-2483
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/21/2022
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