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1689765869
ROBERTO AVILA DE LA PENA
TAMPA, FL
NPI
1689765869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN11027)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
-- ROBERTO AVILA DE LA PENA
7340 W WATERS AVE
TAMPA, FL 33634-2222
Phone number: 813-886-1800
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Mailing Address
-- ROBERTO AVILA DE LA PENA
2502 N ROCKY POINT DR SUITE 1000-CREDENTIALING
TAMPA, FL 33607-1421
Phone number:
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