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1134754005
DR NICK'S WHITE & HEALTHY, INC
TAMPA, FL
NPI
1134754005
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Entity Type
Organization
Authorized Contact
GLORIA A CORT
Office Manager
813-445-7162
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2020-03-11
Last Update Date
2020-03-11
Business Address
DR NICK'S WHITE & HEALTHY, INC
4010 W STATE ST
TAMPA, FL 33609
Phone number: 813-445-7162
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Mailing Address
DR NICK'S WHITE & HEALTHY, INC
4010 W STATE ST
TAMPA, FL 33609
Phone number: 813-445-7162
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