Organization
FROUG SUN CITY DENTAL CENTER
Active
Other names
sun city dental
Organization subpart
No
Provider details
NPI number
Authorized official
SUMMER DUBOSE (OFFICE MANAGER)
(813) 633-2636
Entity
Organization
Contact information
Practice address
727 CORTARO DR, RUSKIN, FL 33573-6812
(813) 633-2636
(813) 634-3630
Mailing address
727 CORTARO DR, RUSKIN, FL 33573-6812
(813) 633-2636
(813) 634-3630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32164.0000
FL
Other
Enumeration date
05/30/2007
Last updated
03/20/2012
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