Tim Tiralosi D.m.d. LLC

NPI #1790137552 in Lake Mary, Florida

Provider Information

NPI Number: 1790137552
Entity Type: Organization
Organization Name: Tim Tiralosi D.m.d. LLC
Primary Specialty: Dentist
Enumeration Date: Jul 5, 2016
Last Updated: Jul 5, 2016

Practice Location

Address: 731 STIRLING CENTER PL
Address 2: SUITE 1951
City: Lake Mary
State: Florida
ZIP Code: 32746-5209
Phone: (407) 333-1335

Authorized Official

Name: DR. TIMOTHY TIRALOSI, DMD
Title: OWNER
Phone: (407) 333-1335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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