| NPI | 1104214865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE LAPRESTI Pediatric Dentist/ Owner 813-528-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DN17430) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: DN14677) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2023-01-06 |