Deep Roots Dental and Facial Asethetics LLC

NPI #1376350082 in Lutz, Florida

Provider Information

NPI Number: 1376350082
Entity Type: Organization
Organization Name: Deep Roots Dental and Facial Asethetics LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 16, 2024
Last Updated: Dec 16, 2024

Practice Location

Address: 3013 ALLEGRA WAY
City: Lutz
State: Florida
ZIP Code: 33559-6997
Phone: (813) 839-2273

Authorized Official

Name: DR. MARNIE CHALL BAUER, DMD
Title: OWNER
Phone: (813) 839-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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