| NPI | 1124901368 |
|---|---|
| Doing Business As | ODESSA SUNRISE DENTAL FOR KIDS |
| Entity Type | Organization |
| Authorized Contact | BRENDA MANZANARES Practice Owner 813-822-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |