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NPI Code Detail

MEDICARE: DR. PRITESH NATHOO D.M.D.

MEDICARE: DR. PRITESH NATHOO D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN19513FL

General Provider Information

NPI Number : 1265728315
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRITESH NATHOO D.M.D.
Provider Business Mailing Address
First Line : 8641 SAINT MARINO BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32836-8780
Country : US
Telephone Number : 407-928-3393
Fax Number :
Provider Business Practice Location Address
First Line : 10427 SHELDON RD
Second Line :
City : TAMPA
State : FL
Zip : 33626-5110
Country : US
Telephone Number : 407-928-3393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2011
Last Update Date : 10/26/2018

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