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Organization

LUTZ DENTIST OFFICE, PA

Active
Other names
LUTS DENTIST OFFICE
Organization subpart
No

Provider details

NPI number
Authorized official
MINH PHAM DDS (OWNER)
(813) 337-7478
Entity
Organization

Contact information

Practice address
17661 HARPER'S RUN, LUTZ, FL 33558
(813) 337-7478
(813) 367-9887
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
08/02/2023
Last updated
08/02/2023
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