Organization
DR HERDOCIA INC
Active
Other names
NEW OCEANSIDE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FILIBERTO HERDOCIA DDS (PRESIDENT)
(813) 998-0000
Entity
Organization
Contact information
Practice address
2510 W VIRGINIA AVE, TAMPA, FL 33607-6326
(813) 998-0000
Mailing address
2510 W VIRGINIA AVE, TAMPA, FL 33607-6326
(813) 998-0000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11609
FL
Other
Enumeration date
08/13/2014
Last updated
08/20/2014
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