| NPI | 1134531270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUNIKA FALEMBAN Owner 813-408-4634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN18289) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN18289) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2020-06-30 |