Organization
SIGNATURE FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER PLEVRIS (OWNER)
(727) 327-4040
Entity
Organization
Contact information
Practice address
4000 5TH AVE N, ST PETERSBURG, FL 33713-6302
(727) 327-4040
Mailing address
4000 5TH AVE N, ST PETERSBURG, FL 33713-6302
(727) 327-4040
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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