Vacharakiat, Malissa

Vacharakiat, Malissa is an individual health care provider with primary practice located at 6526 Gunn Hwy , Tampa FL 33625-4022. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Vacharakiat, Malissa can be contacted via phone (813) 374-2290.

Contact Information

Primary practice address
6526 Gunn Hwy Tampa FL 33625-4022
Phone: (813) 374-2290
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DN16468 Florida
Dental Providers / Endodontics 1223E0200X 21729 Texas

Profile Details

NPI number 1609959873
LBN Legal business name Vacharakiat, Malissa
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jan 1st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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