| NPI | 1124790399 |
|---|---|
| Doing Business As | SELECT DENTAL GA |
| Entity Type | Organization |
| Authorized Contact | NICOLE CARIDE Credentialing 727-784-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2023-03-07 |