| NPI | 1659749810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SCHIAPARELLI Chief Financial Officer 727-800-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 21635) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2023-03-30 |