Organization
DENTAL SPECIALTY GROUP OF TAMPA BAY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN FERNANDO MESIA DDS, MS (OWNER/PERIODONTIST)
(352) 222-7512
Entity
Organization
Contact information
Practice address
4326 PARK BLVD N STE C-EAST, PINELLAS PARK, FL 33781-3555
(727) 544-5345
(727) 547-8263
Mailing address
4326 PARK BLVD N STE C-EAST, PINELLAS PARK, FL 33781-3555
(727) 544-5345
(727) 547-8263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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