| Citrus Park Endodontics, Pa | |
|
6526 Gunn Hwy Tampa FL 33625-4022 | |
| (813) 374-2290 | |
| (813) 374-9048 |
| Full Name | Citrus Park Endodontics, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6526 Gunn Hwy, Tampa, Florida |
| Authorized Official Name and Position | Dennis Demirjian (DOCTOR) |
| Authorized Official Contact | 8133742290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrus Park Endodontics, Pa 6526 Gunn Hwy Tampa FL 33625-4022 Ph: (813) 374-2290 | Citrus Park Endodontics, Pa 6526 Gunn Hwy Tampa FL 33625-4022 Ph: (813) 374-2290 |
| NPI Number | 1134230196 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 04/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134230196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN15009 (Florida) | Primary |
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