| NPI | 1679178271 |
|---|---|
| Doing Business As | NOVA DENTAL |
| Entity Type | Organization |
| Authorized Contact | MAISA BICUDO MICKELSON Office Manager 813-616-9019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |