| Dental Specialty Group Of Tampa Bay Pllc | |
|
4326 Park Blvd N Ste C-east Pinellas Park FL 33781-3555 | |
| (727) 544-5345 | |
| (727) 547-8263 |
| Full Name | Dental Specialty Group Of Tampa Bay Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4326 Park Blvd N Ste C-east, Pinellas Park, Florida |
| Authorized Official Name and Position | Ruben Fernando Mesia (OWNER/PERIODONTIST) |
| Authorized Official Contact | 3522227512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Specialty Group Of Tampa Bay Pllc 4326 Park Blvd N Ste C-east Pinellas Park FL 33781-3555 Ph: (727) 544-5345 | Dental Specialty Group Of Tampa Bay Pllc 4326 Park Blvd N Ste C-east Pinellas Park FL 33781-3555 Ph: (727) 544-5345 |
| NPI Number | 1720596067 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 01/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720596067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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