| NPI | 1316571383 |
|---|---|
| Doing Business As | INNOVATIVE DENTAL SOLUTIONS OF SEMINOLE |
| Entity Type | Organization |
| Authorized Contact | NICOLE MARTINO President 727-391-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2021-07-24 |