| NPI | 1477702140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARESH JAYANT PARIKSHAK Owner/President 727-844-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN13340) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN14074) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |