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Individual

DR. HAROLD B. WELCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
807 DR. MARTIN LUTHER KING BLVD. W., SEFFNER, FL 33584
(813) 684-2279
(813) 684-6769
Mailing address
2909 SPANIEL LN, SEFFNER, FL 33584-5912
(813) 689-7450

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10853
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10853
STATE LICENSE
FL
01
BW0139027
D.E.A. #
FL
Enumeration date
01/18/2007
Last updated
07/09/2007
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