Individual
BAMIDURO REUBEN OGUNTEBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
110 N. ARMENIA AVENUE, SUITE B., TAMPA, FL 33609
(813) 254-0041
(813) 253-8841
Mailing address
110 N. ARMENIA AVENUE, SUITE B., TAMPA, FL 33609
(813) 254-0041
(813) 253-8841
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN13140
FL
1223E0200X
Endodontics
13140
FL
1223E0200X
Endodontics
Primary
DN13140
FL
Other
Enumeration date
05/08/2009
Last updated
09/14/2023
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