Organization
DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA
Active
Other names
Northwest Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA LESSO (CHIEF FINANCIAL OFFICER)
(714) 571-3471
Entity
Organization
Contact information
Practice address
3731 NW 40TH TER STE A, GAINESVILLE, FL 32606-8148
(352) 376-6366
(352) 376-3099
Mailing address
136 4TH ST N STE 201, ST PETERSBURG, FL 33701-3889
(727) 800-8026
(727) 304-3164
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12241
FL
Other
Enumeration date
06/09/2014
Last updated
02/02/2024
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