| The Tooth Doctor | |
|
4213 S Manhattan Ave Tampa FL 33611-1301 | |
| (321) 446-5047 | |
| Not Available |
| Full Name | The Tooth Doctor |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4213 S Manhattan Ave, Tampa, Florida |
| Authorized Official Name and Position | Claudia Martinez (DENTIST/PRESIDENT) |
| Authorized Official Contact | 8136052573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Tooth Doctor 4213 S Manhattan Ave Tampa FL 33611-1301 Ph: (813) 605-2573 | The Tooth Doctor 4213 S Manhattan Ave Tampa FL 33611-1301 Ph: (321) 446-5047 |
| NPI Number | 1225432214 |
|---|---|
| Provider Enumeration Date | 10/20/2014 |
| Last Update Date | 06/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225432214 | NPI | - | NPPES |
| 000975600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN18604 (Florida) | Primary |
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