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Organization

TAMPA DENTAL WELLNESS OF CARROLLWOOD, LLC

Active
Other names
Amy Creech-Gionis, DMD
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JEANNINE SMITH CRDH (OPERATIONS MANAGER)
(813) 265-2273
Entity
Organization

Contact information

Practice address
11123 N DALE MABRY HWY, TAMPA, FL 33618-3803
(813) 265-2273
Mailing address
11123 N DALE MABRY HWY, TAMPA, FL 33618-3803
(813) 265-2273

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/03/2018
Last updated
12/03/2018
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