| NPI | 1043023054 |
|---|---|
| Doing Business As | ADVANCED DENTAL ASSOCIATES OF SOUTH TAMPA |
| Entity Type | Organization |
| Authorized Contact | JUSTIN LEE ELIKOFER President 812-568-1195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-02-03 |