Organization
DENTAL ASSOCIATES OF FLORIDA (LUTZ), PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOMEZ (CREDENTIALING SUPERVISOR)
(305) 274-2499
Entity
Organization
Contact information
Practice address
23641 STATE ROAD 54, LUTZ, FL 33559-7306
(813) 343-4649
Mailing address
23641 STATE ROAD 54, LUTZ, FL 33559-7306
(813) 343-4649
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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