| NPI | 1568595130 |
|---|---|
| Other Name | SEFFNER MANGO DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KURT KENTON WEBER President 813-689-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 10991) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |