| NPI | 1730351404 |
|---|---|
| Other Name | DA VINCI COSMETIC AND FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CRAIG BAKER CEO 813-451-9658 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN 17163) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2009-02-24 |