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Provider Information for 1073738183



DR. ROBERTO BELLEGARRIGUE DMD

Gender: MALE

Individual NPI: 1073738183

Calendar Last Updated: 2008-08-26

Details

Name Value
NPI 1073738183
Enumeration Date 2007-04-16
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 311 S ARRAWANA AVE UNIT 1
TAMPA, FL 33609-3258
United States

Phone: 813-789-9091 | Fax:
View Map External Link
Primary Practice Address 3331 W BEARSS AVE
TAMPA, FL 33618-2100
United States

Phone: 813-968-5368 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist FL DN15537