NPI | 1548974140 |
---|---|
Doing Business As | REEF KIDS DENTAL |
Entity Type | Organization |
Authorized Contact | ROBERT KRACHENFELS Owner 813-845-8722 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-01-09 |
Last Update Date | 2024-02-20 |