Organization
RENATO J. AVES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENATO J AVES JR. DDS (PRESIDENT/ORAL SURGEON)
(813) 885-4501
Entity
Organization
Contact information
Practice address
7712 W WATERS AVE, TAMPA, FL 33615-1813
(813) 885-4501
(813) 885-5410
Mailing address
7712 W WATERS AVE, TAMPA, FL 33615-1813
(813) 885-4501
(813) 885-5410
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN18163
FL
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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