NPI | 1619376746 |
---|---|
Doing Business As | PINELLAS FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | DONALD VESPA Owner 727-518-8349 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 13194) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN 18889) |
1223G0001X Dentist, General Practice (Licence: FL DN 12919) | |
1223G0001X Dentist, General Practice (Licence: FL DN 12953) | |
1223P0300X Dentist, Periodontics (Licence: FL DN 6295) | |
Enumeration Date | 2014-08-14 |
Last Update Date | 2014-08-14 |