Organization
LOUIS P CERILLO, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS P CERILLO DDS (PRESIDENT/DENTIST)
(813) 971-1688
Entity
Organization
Contact information
Practice address
15277 AMBERLY DR, TAMPA, FL 33647-2155
(813) 971-1688
(813) 971-4322
Mailing address
15277 AMBERLY DR, TAMPA, FL 33647-2155
(813) 971-1688
(813) 971-4322
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN11574
FL
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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