Organization
PEDIATRIC DENTISTRY OF LUTZ, LLC
Active
Other names
Dental Studio 4 Kids
Organization subpart
No
Provider details
NPI number
Authorized official
DENISSE LASANTA (PRESIDENT)
(813) 528-5476
Entity
Organization
Contact information
Practice address
4675 VAN DYKE RD, LUTZ, FL 33558-4880
(813) 591-2200
(813) 374-8329
Mailing address
4675 VAN DYKE RD, LUTZ, FL 33558-4880
(813) 591-2200
(813) 374-8329
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
03/11/2026
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