| NPI | 1720456098 |
|---|---|
| Doing Business As | PARADISE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JONNY WORKMAN Practice Administrator 941-627-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 14150) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |