| NPI | 1447695846 |
|---|---|
| Other Name | NEW TAMPA PEDIATRIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH J STOUGHTON Office Manager 813-991-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN17854) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2022-02-01 |