Organization
ISMILE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS TERESA LUGO DDS (CO PRESIDENT)
(813) 334-7122
Entity
Organization
Contact information
Practice address
4444 E FLETCHER AVE STE D, TAMPA, FL 33613-4905
(813) 988-9276
(813) 985-6449
Mailing address
3419 W SAN LUIS ST, TAMPA, FL 33629-7918
(813) 334-7122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
03/17/2023
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