Organization
EMERALD DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASNEEM CHABALLOUT DDS (DENTIST)
(813) 364-0270
Entity
Organization
Contact information
Practice address
30752 SR 54, WESLEY CHAPEL, FL 33543-6009
(813) 364-0270
(813) 364-0271
Mailing address
33739 JASPER STONE DR, WESLEY CHAPEL, FL 33543-7339
(424) 421-9102
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
03/13/2025
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