Bay Area Modern Dentistry LLC
NPI #1134702111 in Pinellas Park, Florida
Provider Information
- NPI Number
- 1134702111
- Entity Type
- Organization
- Organization Name
- Bay Area Modern Dentistry LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 28, 2021
- Last Updated
- Apr 28, 2021
Practice Location
- Address
- 5299 PARK BLVD N
- City
- Pinellas Park
- State
- Florida
- ZIP Code
- 33781-3418
- Phone
- (727) 547-8227
Authorized Official
- Name
- IVO BUSHATI, DMD
- Title
- DENTIST
- Phone
- (727) 547-8227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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