Dental Associates of Florida (lutz), Pllc

NPI #1861956070 in Lutz, Florida

Provider Information

NPI Number: 1861956070
Entity Type: Organization
Organization Name: Dental Associates of Florida (lutz), Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 22, 2019
Last Updated: Jan 22, 2019

Practice Location

Address: 23641 STATE ROAD 54
City: Lutz
State: Florida
ZIP Code: 33559-7306
Phone: (813) 343-4649

Authorized Official

Name: STEPHANIE GOMEZ
Title: CREDENTIALING SUPERVISOR
Phone: (305) 274-2499

Specialties & Taxonomy Codes

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

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