| NPI | 1720331812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY JOHNSON Owner 727-786-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: FL DN9643) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |