| NPI | 1205496171 |
|---|---|
| Doing Business As | CHILDREN'S DENTISTRY OF LAKEWOOD RANCH |
| Entity Type | Organization |
| Authorized Contact | BRYAN J MORGAN Owner 941-792-6272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |