Individual
DON DAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4710 W BALLAST POINT BLVD, TAMPA, FL 33611-5608
(813) 766-9458
Mailing address
4710 W BALLAST POINT BLVD, TAMPA, FL 33611-5608
(813) 766-9458
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN20218
FL
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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