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Organization

DENTAL OFFICE OF TAMPA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIKKI BLANTON (INSURANCE COORDINATOR)
(727) 738-8845
Entity
Organization

Contact information

Practice address
3955 MORAN RD, TAMPA, FL 33618-4622
(727) 519-4588
(727) 738-1466
Mailing address
1044 BELCHER RD, DUNEDIN, FL 34698-5680
(727) 738-8845

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
11/25/2024
Last updated
11/25/2024
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