Organization
CITI DENTAL OF TAMPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL F. BATTLE DDS (OWNER)
(727) 423-1452
Entity
Organization
Contact information
Practice address
9309 N FLORIDA AVE STE 111, TAMPA, FL 33612-7237
(813) 331-4578
Mailing address
9309 N FLORIDA AVE STE 111, TAMPA, FL 33612-7237
(813) 331-4578
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100902000
—
FL
Enumeration date
07/24/2020
Last updated
07/24/2020
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