NPI | 1225825789 |
---|---|
Former Legal Business Name | LUX DENTAL AND SPA |
Entity Type | Organization |
Authorized Contact | ALENA KVASHENKA Dentist 727-724-4227 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-04-21 |
Last Update Date | 2025-04-21 |