| NPI | 1679455505 |
|---|---|
| Doing Business As | PURE DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL BLEDSOE BARRON Revenue Cycle Manager 813-580-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |