Individual
DR. RALPH MARK EICHSTAEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1060 W BUSCH BLVD, SUITE 105, TAMPA, FL 33612-7707
(813) 931-4000
(813) 935-6532
Mailing address
2033 20TH AVENUE PKWY, INDIAN ROCKS BEACH, FL 33785-2971
(407) 405-4030
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN15139
FL
Other
Enumeration date
01/06/2007
Last updated
07/08/2007
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