Individual
DR. DEVON MICHAEL GIDDENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
18850 N DALE MABRY HWY, LUTZ, FL 33548-4978
(813) 949-6969
Mailing address
18850 N DALE MABRY HWY, LUTZ, FL 33548-4978
(813) 949-6969
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN28104
FL
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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