Provider Demographics
NPI:1447473152
Name:HILLSBOROUGH COUNTY DENTAL RESEARCH CLINIC
Entity type:Organization
Organization Name:HILLSBOROUGH COUNTY DENTAL RESEARCH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:RICARDO
Authorized Official - Last Name:VILARET
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-231-1800
Mailing Address - Street 1:2010 E HILLSBOROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-8255
Mailing Address - Country:US
Mailing Address - Phone:813-238-7725
Mailing Address - Fax:813-231-1812
Practice Address - Street 1:2010 E HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-8255
Practice Address - Country:US
Practice Address - Phone:813-238-7725
Practice Address - Fax:813-231-1812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty