| NPI | 1578600433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY C. STEPANSKI Owner 813-973-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: 11375) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |