Organization
ST. LUKE'S DENTAL, PLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL WAHBA DDS (OWNER)
(813) 909-1555
Entity
Organization
Contact information
Practice address
1908 LAND O LAKES BLVD, SUITE 3, LUTZ, FL 33549-2914
(813) 909-1555
(813) 909-1556
Mailing address
1908 LAND O LAKES BLVD, SUITE 3, LUTZ, FL 33549-2914
(813) 909-1555
(813) 909-1556
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN15339
FL
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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