| Lillybash Dental Studio Pllc | |
|
11280 Boyette Rd Suit #101 Riverview FL 33569 | |
| (813) 567-3333 | |
| Not Available |
| Full Name | Lillybash Dental Studio Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11280 Boyette Rd, Riverview, Florida |
| Authorized Official Name and Position | Danoosh Shiravand Amrooei (OWNER/ DOCTOR) |
| Authorized Official Contact | 8132035291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lillybash Dental Studio Pllc 4312 W Sylvan Ramble St Tampa FL 33609-4316 Ph: (813) 203-5291 | Lillybash Dental Studio Pllc 11280 Boyette Rd Suit #101 Riverview FL 33569 Ph: (813) 567-3333 |
| NPI Number | 1366035677 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 02/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366035677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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