Individual
MITCHELL PERSENAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3341 W FLETCHER AVE, TAMPA, FL 33618-2810
(813) 295-7656
(813) 219-8988
Mailing address
3341 W FLETCHER AVE, TAMPA, FL 33618-2810
(813) 295-7656
(813) 219-8988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4288
AR
1223P0700X
Prosthodontics
Primary
20
AR
1223P0700X
Prosthodontics
Primary
DN28171
FL
Other
Enumeration date
05/02/2015
Last updated
04/24/2026
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