| NPI | 1194119255 |
|---|---|
| Doing Business As | A FAMILY DENTIST |
| Entity Type | Organization |
| Authorized Contact | CRISTEN MARIE MENDOZA Owner/Dentist 727-808-7886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN18780) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |