Organization
FAMILY DENTAL AT CONNERTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE LAND (OFFICE MANAGER)
(813) 929-9800
Entity
Organization
Contact information
Practice address
7918 LAND O LAKES BLVD, SUITE 101, LAND O LAKES, FL 34638
(813) 929-9800
(813) 929-9815
Mailing address
7918 LAND O LAKES BLVD, SUITE 101, LAND O LAKES, FL 34638-5705
(813) 929-9800
(813) 929-9815
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN17707
FL
261QD0000X
Dental Clinic/Center
DN18381
FL
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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