Organization
C. EDGAR DAVILA DDS MS PA
Active
Other names
Tampa Advanced Dental Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN EDGAR DAVILA DDS (OWNER)
(813) 872-9313
Entity
Organization
Contact information
Practice address
4712 N ARMENIA AVE, SUITE 100, TAMPA, FL 33603-2611
(813) 872-9313
(813) 354-9446
Mailing address
4712 N ARMENIA AVE, SUITE 100, TAMPA, FL 33603-2611
(813) 872-9313
(813) 354-9446
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346348166
INDIVIDUAL NPI
FL
01
—
763767
UNITED CONCORDIA ID
FL
Enumeration date
03/06/2007
Last updated
07/02/2008
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