Organization
FRANK J. SIERRA DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK J. SIERRA JR. DMD (PRESIDENT)
(813) 889-0780
Entity
Organization
Contact information
Practice address
5420 WEBB RD, C-2, TAMPA, FL 33615-3250
(813) 889-0780
(813) 885-2642
Mailing address
5420 WEBB RD, C-2, TAMPA, FL 33615-3250
(813) 889-0780
(813) 885-2642
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN0013285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075109000
—
FL
Enumeration date
08/07/2012
Last updated
08/07/2012
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