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1134702111
BAY AREA MODERN DENTISTRY LLC
PINELLAS PARK, FL
NPI
1134702111
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Entity Type
Organization
Authorized Contact
IVO BUSHATI
Dentist
727-547-8227
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
BAY AREA MODERN DENTISTRY LLC
5299 PARK BLVD N
PINELLAS PARK, FL 33781-3418
Phone number: 727-547-8227
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Mailing Address
BAY AREA MODERN DENTISTRY LLC
506 20TH AVE NE
ST PETERSBURG, FL 33704-4622
Phone number: 727-686-1808
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