Organization
DIO TAMPA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS GLICK (COO)
(561) 400-4179
Entity
Organization
Contact information
Practice address
10825 BOYETTE RD, RIVERVIEW, FL 33569-8012
(813) 741-0483
Mailing address
10825 BOYETTE RD, RIVERVIEW, FL 33569-8012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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