| NPI | 1003065723 |
|---|---|
| Doing Business As | CHS-UF PEDIATRIC DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SANDRA STEELE Chief Financial Officer 239-658-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| 126800000X Dental Assistant | |
| 124Q00000X Dental Hygienist | |
| 1223E0200X Dentist, Endodontics | |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2021-11-10 |