| NPI | 1083822035 |
|---|---|
| Doing Business As | DBA PRESTIGE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TAMMY L HOOVER Office Administrator 727-789-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN11016) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2017-12-13 |