Organization
TAMPA PROSTH
Active
Other names
Jolie Smiles Denture & Implant Studio
Organization subpart
No
Provider details
NPI number
Authorized official
NGOC TRANG CAROLINE TRUONG DMD, MS (PROVIDER)
(561) 866-6482
Entity
Organization
Contact information
Practice address
7749 VAN DYKE RD, ODESSA, FL 33556-4632
(561) 866-6482
Mailing address
7749 VAN DYKE RD, ODESSA, FL 33556-4632
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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