NPI | 1568583342 |
---|---|
Doing Business As | KERNAGIS DENTAL EXCELLENCE DENTAL EXCELLENCE AT FISHHAWK |
Entity Type | Organization |
Authorized Contact | RICHARD MICHAEL KERNAGIS President 813-571-5555 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN15191) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN15256) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2020-08-22 |