NPI | 1649658527 |
---|---|
Doing Business As | FAMILY DENTAL SPA OF BRANDON |
Entity Type | Organization |
Authorized Contact | ELIZABETH PEREZ Doctor, Dmd/President 813-661-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN15530) |
Enumeration Date | 2015-05-12 |
Last Update Date | 2015-09-28 |