Organization
FERRARA DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE FERRARA DMD (OWNER)
(813) 229-8090
Entity
Organization
Contact information
Practice address
201 EAST KENNEDY BLVD, SUITE 1425, TAMPA, FL 33602
(813) 229-8090
(813) 224-0009
Mailing address
201 EAST. KENNEDY BLVD, SUITE 1425, TAMPA, FL 33602
(813) 229-8090
(813) 224-0009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN15396
FL
122300000X
Dentist
DN18821
FL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/20/2018
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