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All Dental Professional PLLC

Dentist, General Practice in Riverview, FL. Organization (NPI-2).

NPI number1760102065
StatusActive
Last updated in NPPESAug 29, 2022

Details

NPI
1760102065
Entity type
Organization (NPI-2)
Legal business name
All Dental Professional PLLC
Organization subpart
No
Enumeration date
Aug 29, 2022
Certification date
Aug 24, 2022
Last updated
Aug 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

10116 Gibsonton Dr
Riverview, FL 33578

Phone 708-261-3717

Mailing address

4008 Mountain Springs Ln
Tampa, FL 33624-1824

Phone 708-261-3717

Authorized official

Bartlomiej Ladzinski
Owner
7082613717

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