| NPI | 1265148654 |
|---|---|
| Doing Business As | FRESH DENTAL |
| Entity Type | Organization |
| Authorized Contact | MOMODU ALI Owner 813-453-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |