| NPI | 1619435039 |
|---|---|
| Other Name | HILLSBOROUGH COMMUNITY COLLEGE DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BAILEY GOSS Dental Clinic Coordinator 813-259-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |