Theodore Edward David Peters, Dds,pa

NPI 1255501342 - Dentist - 1223S0112X

NPI Details
NPI 1255501342
Enumeration Date 03/05/2008
Last Updated 03/05/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name THEODORE EDWARD DAVID THEODORE
Position SURGEON
Phone (813) 870-1220
Fax (813) 870-2615
Practice Location
508 S HABANA AVE
SUITE 110
TAMPA FL, 33609-4181, US
Phone (813) 870-1220
Fax (813) 870-2615
Business Location
508 S HABANA AVE
SUITE 110
TAMPA FL, 33609-4181, US
Phone (813) 870-1220
Fax (813) 870-2615
Toxanomy
Taxonomy Code 1223S0112X
License State Florida
License Number 13473
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According to our database, Theodore Edward David Peters, Dds,pa NPI is 1255501342, taxonomy code is 1223S0112X and license number is 13473, license state is located at Florida. Theodore Edward David Peters, Dds,pa physically located at 508 S Habana Ave, Tampa FL, 33609-4181. NPI Number 1033115704 has the healthcare provider type.

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1255501342 NPI number is provided on an as is basis without warranty of any kind. 1255501342 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore Edward David Peters, Dds,pa are for informational purposes only.