| NPI | 1679564405 |
|---|---|
| Doing Business As | TAMPA BAY PERIODONTICS AND IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JAMES G WILSON President 813-251-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN13537) |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2020-08-22 |