ROBERTO AVILA DE LA PENA

TAMPA, FL
NPI1689765869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN11027)
Enumeration Date2006-09-27
Last Update Date2007-07-08
Business Address
-- ROBERTO AVILA DE LA PENA
7340 W WATERS AVE
TAMPA, FL 33634-2222
Phone number: 813-886-1800
Mailing Address
-- ROBERTO AVILA DE LA PENA
2502 N ROCKY POINT DR SUITE 1000-CREDENTIALING
TAMPA, FL 33607-1421
Phone number: