NPI | 1043941644 |
---|---|
Former Legal Business Name | COAST HARBOUR DENTAL AND HEALTH ASSOCIATES |
Entity Type | Organization |
Authorized Contact | ELIZABETH PERKS Dentist 813-422-2599 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QD0000X Clinic/Center, Dental | |
Enumeration Date | 2022-06-23 |
Last Update Date | 2022-06-23 |