NPI | 1518176999 |
---|---|
Doing Business As | CLINIQUE FOR AESTHETIC & NATURAL DENTISTRY |
Entity Type | Organization |
Authorized Contact | JONATHAN J BROMBOZ Doctor 727-712-3837 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 14423) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |