NPI | 1306572698 |
---|---|
Doing Business As | SMILEWORKS KIDS DENTISTRY |
Entity Type | Organization |
Authorized Contact | ROBERT L DEMINT Credentialing Coordinator 813-692-2224 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2022-07-28 |
Last Update Date | 2022-07-28 |