Most Relevant Information
Provider Data
| NPI Number: | 1003330416 |
| Provider Name: | FELIPE SALLES DDS, PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DN22576 |
Most Important Dates
| Enumeration Date: | 07/27/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
16627 FISHHAWK BLVD STE 102
LITHIA
FL
335473800
Practice Location Phone/Fax
| Phone: | 8136816200 |
| Fax: |
Provider Mailing Location
16627 FISHHAWK BLVD STE 102
LITHIA
FL
335473800
Provider Mailing Phone/Fax
| Phone: | 8136816200 |
| Fax: |