Organization
ED DE LA PAZ, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ED DE LA PAZ D.M.D. (PRESIDENT)
(813) 930-8300
Entity
Organization
Contact information
Practice address
9710 N ARMENIA AVE, SUITE D, TAMPA, FL 33612-7507
(813) 930-8300
(813) 915-1501
Mailing address
9710 N ARMENIA AVE, SUITE D, TAMPA, FL 33612-7507
(813) 930-8300
(813) 915-1501
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN12677
FL
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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