Organization
OBECK COMPREHENSIVE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN OBECK DDS (OWNER)
(813) 253-5379
Entity
Organization
Contact information
Practice address
33 DAVIS BLVD, TAMPA, FL 33606-3427
(813) 253-5379
(813) 254-1521
Mailing address
33 DAVIS BLVD, TAMPA, FL 33606-3427
(813) 253-5379
(813) 254-1521
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053938654
—
FL
05
—
1316060635
—
FL
Enumeration date
04/12/2023
Last updated
04/20/2023
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