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16688 N Dale Mabry Hwy Suite B Tampa FL 33618-1400 | |
| (813) 374-9695 | |
| (813) 333-7323 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 16688 N Dale Mabry Hwy, Tampa, Florida |
| Authorized Official Name and Position | Ronald Yarbrough (OWNER) |
| Authorized Official Contact | 8133852844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
16688 N Dale Mabry Hwy Suite B Tampa FL 33618-1400 Ph: (813) 374-9695 | 16688 N Dale Mabry Hwy Suite B Tampa FL 33618-1400 Ph: (813) 374-9695 |
| NPI Number | 1073054789 |
|---|---|
| Provider Enumeration Date | 03/14/2017 |
| Last Update Date | 10/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073054789 | NPI | - | NPPES |
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