Organization
DENTAL ARTS WEST BAY P.A.
Active
Other names
West Bay Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CROUCH (VP)
(321) 872-8820
Entity
Organization
Contact information
Practice address
6921 PISTOL RANGE RD STE 103, TAMPA, FL 33635-9675
(813) 855-0514
(813) 855-8836
Mailing address
6921 PISTOL RANGE RD STE 103, TAMPA, FL 33635-9675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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