| NPI | 1295815322 |
|---|---|
| Other Name | MEDINAPONCE&PONCE D.D.S,P.A |
| Entity Type | Organization |
| Authorized Contact | VIVIAN MEDINA Dentist 813-264-0286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |