Midtown Dental Center LLC
NPI #1992078521 in St Petersburg, Florida
Provider Information
- NPI Number
- 1992078521
- Entity Type
- Organization
- Organization Name
- Midtown Dental Center LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 13, 2012
- Last Updated
- Feb 13, 2012
Practice Location
- Address
- 3011 CENTRAL AVE
- City
- St Petersburg
- State
- Florida
- ZIP Code
- 33713-8632
- Phone
- (727) 322-1828
Authorized Official
- Name
- JACQUELINE NELSON-MANGATAL, DDS
- Title
- DENTIST
- Phone
- (786) 316-5044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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