| NPI | 1437526308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK M BUSCIGLIO President 813-465-8289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN14677) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |