Organization
RENATO J. AVES, LLC
Active
Other names
Tampa Bay Institute of Oral Surgery & Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MARIE WANGELIN (COO)
(813) 885-6555
Entity
Organization
Contact information
Practice address
19445 SHUMARD OAK DR UNIT 101, LAND O LAKES, FL 34638-7278
(813) 909-2354
Mailing address
19445 SHUMARD OAK DR UNIT 101, LAND O LAKES, FL 34638-7278
(813) 909-2354
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/09/2023
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