| NPI | 1417962077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID DOS PASSOS Owner/Dentist 813-963-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 12680) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2010-05-17 |