NPI | 1497478523 |
---|---|
Doing Business As | CONTEMPORARY PERIODONTICS & IMPLANT DENTISTRY |
Entity Type | Organization |
Authorized Contact | ROBERT L DEMINT Credentialing Coordinator 813-692-2224 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2022-09-23 |
Last Update Date | 2023-05-26 |