| Endodontic Associates Of Tampa Pa | |
|
11940 Sheldon Rd Tampa FL 33626-3643 | |
| (727) 796-2183 | |
| (727) 726-8827 |
| Full Name | Endodontic Associates Of Tampa Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 11940 Sheldon Rd, Tampa, Florida |
| Authorized Official Name and Position | Raed S Al Kasem (PRESIDENT) |
| Authorized Official Contact | 7277962183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic Associates Of Tampa Pa 3165 N Mcmullen Booth Rd Ste 2 Clearwater FL 33761-2032 Ph: (727) 796-2183 | Endodontic Associates Of Tampa Pa 11940 Sheldon Rd Tampa FL 33626-3643 Ph: (727) 796-2183 |
| NPI Number | 1053711036 |
|---|---|
| Provider Enumeration Date | 08/27/2014 |
| Last Update Date | 08/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053711036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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