Organization
HILLSBOROUGH COMMUNITY COLLEGE
Active
Other names
Hillsborough Community College Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BAILEY GOSS BA (DENTAL CLINIC COORDINATOR)
(813) 259-6301
Entity
Organization
Contact information
Practice address
4001 W TAMPA BAY BLVD, TAMPA, FL 33614-7810
(813) 259-6301
Mailing address
4001 W TAMPA BAY BLVD, TAMPA, FL 33614-7810
(813) 259-6301
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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