Organization
DE LUCIA FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PING PING H DE LUCIA D.M.D, (MANAGING MEMBER)
(727) 215-3963
Entity
Organization
Contact information
Practice address
6700 CROSSWINDS DR N, SUITE 300 C, SAINT PETERSBURG, FL 33710-8602
(727) 341-2422
Mailing address
6700 CROSSWINDS DR N, SUITE 300 C, SAINT PETERSBURG, FL 33710-8602
(727) 341-2422
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DN18757
FL
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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