Organization
DENTAL SPECIALTY GROUP OF PINELLAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA JEAN DURBIN (OFFICE MANAGER)
(727) 544-5345
Entity
Organization
Contact information
Practice address
4326 PARK BLVD, C EAST, PINELLAS PARK, FL 33781-3555
(727) 544-5345
(727) 547-8263
Mailing address
4326 PARK BLVD, C EAST, PINELLAS PARK, FL 33781-3555
(727) 544-5345
(727) 547-8263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN5630
FL
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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