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Organization

JUAN F. PRADO D.D.S. P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUAN FRANCISCO PRADO D.D.S. (OWNER)
(813) 968-1373
Entity
Organization

Contact information

Practice address
13301 N DALE MABRY HWY STE D, TAMPA, FL 33618-2400
(813) 968-1373
(813) 960-3560
Mailing address
13301 N DALE MABRY HWY STE D, TAMPA, FL 33618-2400
(813) 968-1373
(813) 960-3560

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DN20896
FL

Other

Enumeration date
08/18/2014
Last updated
08/18/2014
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