NPI | 1083383582 |
---|---|
Doing Business As | KISSIMMEE CHILDREN'S DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANDREW WEAVER Practice Administrator 904-395-7772 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-09-08 |
Last Update Date | 2024-11-05 |