Organization · Type 2 NPI
Deep Roots Dental and Facial Asethetics LLC
Dental Clinic/Center · Lutz, FL
NPI number
1376350082
Active
Practice location
3013 Allegra Way
Lutz, FL 33559-6997
Mailing address
4509 W Culbreath Ave
Tampa, FL 33609-4205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1376350082
Deep Roots Dental and Facial Asethetics LLC's National Provider Identifier is 1376350082, issued on Dec 16, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lutz, FL. The record was last updated on Dec 16, 2024.