Fishhawk Family Dental

NPI #1760695183 in Lithia, Florida

Provider Information

NPI Number
1760695183
Entity Type
Organization
Organization Name
Fishhawk Family Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
May 8, 2007
Last Updated
Aug 2, 2007

Practice Location

Address
16737 FISHHAWK BLVD
City
Lithia
State
Florida
ZIP Code
33547-3860
Phone
(813) 662-7171

Authorized Official

Name
DR. MARC ROY JOHNSON, DMD
Title
PARTNER
Phone
(813) 662-7171

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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