| NPI | 1750056859 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY OF BRANDON |
| Entity Type | Organization |
| Authorized Contact | NICOLE CARIDE Credentialing Mgr 727-784-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2024-08-22 |