NPI | 1043846934 |
---|---|
Doing Business As | FAMILY DENTAL SPA OF BRANDON |
Entity Type | Organization |
Authorized Contact | YUDANCY P GANGI Owner 813-661-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-03-23 |
Last Update Date | 2020-03-23 |