Dab Dental PLLC
Dentist in Tampa, FL. Organization (NPI-2).
NPI number1154773653
StatusActive
Last updated in NPPESJul 7, 2016
Details
- NPI
- 1154773653
- Entity type
- Organization (NPI-2)
- Legal business name
- Dab Dental PLLC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2016
- Last updated
- Jul 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN19318 | FL | Yes |
Practice location
14953 N Florida AveTampa, FL 33613-1612
Phone 813-269-9360
Mailing address
3713 W Watrous AveTampa, FL 33629-5132
Phone 786-252-5995
Authorized official
Daira M Avila Barakat
Dentist
7862525995
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