Organization
FLORIDA DENTAL PRACTICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARDIN ZARE DDS (OWNER)
(813) 221-2273
Entity
Organization
Contact information
Practice address
19007 BRUCE B DOWNS BLVD, TAMPA, FL 33647-2475
(813) 221-2273
Mailing address
19007 BRUCE B DOWNS BLVD, TAMPA, FL 33647-2475
(813) 221-2273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14694
FL
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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