Organization
SUNSHINE PERIODONTICS AND IMPLANT DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMHA KUKUNOORU BDS (OWNER)
(727) 222-3220
Entity
Organization
Contact information
Practice address
1799 66TH ST N, SAINT PETERSBURG, FL 33710-5537
(727) 222-3220
Mailing address
1799 66TH ST N, SAINT PETERSBURG, FL 33710-5537
(727) 222-3220
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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