| Ideal Modern Dentistry Pllc | |
|
1311 W Fletcher Ave Tampa FL 33612-3310 | |
| (863) 206-6002 | |
| Not Available |
| Full Name | Ideal Modern Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1311 W Fletcher Ave, Tampa, Florida |
| Authorized Official Name and Position | Zaid Mohammad Mohammad (OWNER DENTIST) |
| Authorized Official Contact | 8632066005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Modern Dentistry Pllc 1311 W Fletcher Ave Tampa FL 33612-3310 Ph: () - | Ideal Modern Dentistry Pllc 1311 W Fletcher Ave Tampa FL 33612-3310 Ph: (863) 206-6002 |
| NPI Number | 1053111641 |
|---|---|
| Provider Enumeration Date | 03/14/2025 |
| Last Update Date | 03/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053111641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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