| NPI | 1659816429 |
|---|---|
| Doing Business As | PERIODONTAL & IMPLANT ESTHETICS |
| Entity Type | Organization |
| Authorized Contact | GUSTAVO RUIZ DE CASTILLA Doctor 813-289-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |