| NPI | 1437671195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON CALLAGHAN Insurance Coordinator 813-968-2483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-07-21 |