Individual
TAIMY CRUZ HONDARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3165 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761-2032
(786) 439-5727
Mailing address
3165 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761-2032
(786) 439-5727
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN24350
FL
390200000X
Student in an Organized Health Care Education/Training Program
RES.003826
OH
Other
Enumeration date
05/17/2017
Last updated
04/25/2022
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