Organization
DENTAL ASSOCIATES OF NEW TAMPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL B BARRON (INSURANCE DIRECT SUPERVISOR)
(813) 977-6962
Entity
Organization
Contact information
Practice address
14201 BRUCE B DOWNS BLVD, SUITE 1, TAMPA, FL 33613-3906
(813) 977-6962
(813) 971-4872
Mailing address
14201 BRUCE B DOWNS BLVD, SUITE 1, TAMPA, FL 33613-3906
(813) 977-6962
(813) 971-4872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/17/2014
Last updated
02/18/2014
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