NPI | 1003287129 |
---|---|
Doing Business As | MOSAIC |
Entity Type | Organization |
Authorized Contact | MARK WAYNE MITCHELL Owner 727-842-5180 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN10802) |
Enumeration Date | 2015-10-15 |
Last Update Date | 2015-10-15 |