| NPI | 1245772078 |
|---|---|
| Doing Business As | OLDSMAR DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LORI ELIZABETH BURCHELL Doctor/Owner 813-855-4269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN18371) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN8894) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |