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Organization

SEMINOLE HARP PEDIATRIC DENTISTRY

Active
Parent organization
SEMINOLE HARP PEDIATRIC DENTISTRY
Organization subpart
Yes

Provider details

NPI number
Legal business name
SEMINOLE HARP PEDIATRIC DENTISTRY
Authorized official
MIRLENE CALIX MEJIA E.F.D.A (AR MANAGER)
(813) 952-6546
Entity
Organization

Contact information

Practice address
8686 131ST ST, SEMINOLE, FL 33776-2700
(727) 304-5483
Mailing address
31067 US HIGHWAY 19 N, PALM HARBOR, FL 34684-4416
(727) 304-5483
(727) 260-4098

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
08/24/2020
Last updated
08/24/2020
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