| NPI | 1093441339 |
|---|---|
| Doing Business As | PARADISE PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | ROBERT L DEMINT Credentialing Coordinator 813-692-2205 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2024-07-02 |