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1255676029
MAITE CASANOVA
TAMPA, FL
NPI
1255676029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN 11782)
Enumeration Date
2012-12-05
Last Update Date
2012-12-05
Business Address
Dr. MAITE CASANOVA DMD
2509 W CREST AVE SUITE 4
TAMPA, FL 33614-6839
Phone number: 813-877-4638
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Mailing Address
Dr. MAITE CASANOVA DMD
2509 W CREST AVE SUITE 4
TAMPA, FL 33614-6839
Phone number: 813-877-4638
Copy
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