| NPI | 1164130522 |
|---|---|
| Doing Business As | MIDWAY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | GIOVANNA DEJESUS Operations 813-340-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2024-04-30 |