Organization
LAND O LAKES PEDIATRIC DENTISTRY, LLC
Active
Other names
Land O Lakes Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NELLIE LIN (DIRECTOR OF OPERATIONS)
(813) 579-8492
Entity
Organization
Contact information
Practice address
5442 LAND O LAKES BLVD, LAND O LAKES, FL 34639-3413
(813) 579-8492
(813) 333-7323
Mailing address
16688 N DALE MABRY HWY, TAMPA, FL 33618-1400
(813) 579-8492
(813) 333-7323
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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