Organization
BAYSHORE FAMILY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURA DABBAGH DDS (DENTIST)
(603) 892-7938
Entity
Organization
Contact information
Practice address
1952 BAYSHORE BLVD, DUNEDIN, FL 34698-2500
(727) 733-1175
Mailing address
19787 MORSANI RD, LUTZ, FL 33558-3320
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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