| Prosthodontics & Implant Therapy Inc | |
|
2814 W Waters Ave Tampa FL 33614-1853 | |
| (813) 933-6705 | |
| Not Available |
| Full Name | Prosthodontics & Implant Therapy Inc |
|---|---|
| Speciality | Dentist |
| Location | 2814 W Waters Ave, Tampa, Florida |
| Authorized Official Name and Position | M Reza Iranmanesh (OWNER) |
| Authorized Official Contact | 8139336705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosthodontics & Implant Therapy Inc 2814 W Waters Ave Tampa FL 33614-1853 Ph: (813) 933-6705 | Prosthodontics & Implant Therapy Inc 2814 W Waters Ave Tampa FL 33614-1853 Ph: (813) 933-6705 |
| NPI Number | 1033664651 |
|---|---|
| Provider Enumeration Date | 08/24/2016 |
| Last Update Date | 08/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033664651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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