Organization · Type 2 NPI

International Center for Complete Dentistry

Customized Equipment (DME) · St. Petersburg, FL

NPI number 1154643377 Active

Practice location

111 2nd Ave NE, #1104
St. Petersburg, FL 33701-3434

Call (727) 821-4433 Map

Fax (727) 822-7252

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XDN4596 (FL)

Customized Equipment (DME): Definition to come...

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About NPI 1154643377

International Center for Complete Dentistry's National Provider Identifier is 1154643377, issued on Feb 16, 2010. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in St. Petersburg, FL. The record was last updated on Jun 23, 2010.