| NPI | 1285012278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJIN PATEL Dentist 813-885-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL DN14915) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |