Dental Specialty Group of Tampa Bay Pllc
NPI #1720596067 in Pinellas Park, Florida
Provider Information
- NPI Number
- 1720596067
- Entity Type
- Organization
- Organization Name
- Dental Specialty Group of Tampa Bay Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 22, 2018
- Last Updated
- Jan 22, 2018
Practice Location
- Address
- 4326 PARK BLVD N STE C-EAST
- City
- Pinellas Park
- State
- Florida
- ZIP Code
- 33781-3555
- Phone
- (727) 544-5345
Authorized Official
- Name
- RUBEN FERNANDO MESIA, DDS, MS
- Title
- OWNER/PERIODONTIST
- Phone
- (352) 222-7512
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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