Roberto Avila De La Pena

NPI 1689765869 - Dentist - 1223G0001X

NPI Details
NPI 1689765869
Gender Male
Enumeration Date 09/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
7340 W WATERS AVE
TAMPA FL, 33634-2222, US
Phone (813) 886-1800
Fax
Business Location
2502 N ROCKY POINT DR
SUITE 1000-CREDENTIALING
TAMPA FL, 33607-1421, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN11027
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According to our database, Roberto Avila De La Pena NPI is 1689765869, taxonomy code is 1223G0001X and license number is DN11027, license state is located at Florida. Roberto Avila De La Pena physically located at 7340 W Waters Ave, Tampa FL, 33634-2222. NPI Number Roberto Avila De La Pena has the Individual type.

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1689765869 NPI number is provided on an as is basis without warranty of any kind. 1689765869 is maintained by the National Plan & Provider Enumeration System. The contents of Roberto Avila De La Pena are for informational purposes only.