| NPI | 1295524411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIK ELMOHD Oral & Maxillofacial Surgeon/Owner 813-528-1787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |