| NPI | 1295021517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAHIDA IQBAL Manager 813-792-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18056) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-24 |