| NPI | 1124745203 |
|---|---|
| Doing Business As | SRQ ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | ROBERT L DEMINT Credentialing Coordinator 813-692-2224 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2023-01-04 |