| NPI | 1497282859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KELLOGG Endodontist 813-368-0158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN20366) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2022-07-21 |