Individual
DANA TARABISHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
165 E BLOOMINGDALE AVE, BRANDON, FL 33511-8102
(813) 643-6969
(813) 643-6556
Mailing address
25049 LAMBRUSCO LOOP, LUTZ, FL 33559-1807
(352) 442-9633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1858802
MA
122300000X
Dentist
Primary
DN25574
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2020
Last updated
05/28/2024
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