| NPI | 1760156889 |
|---|---|
| Doing Business As | NORTHWOOD MODERN DENTISTRY |
| Doing Business As | CLEARWATER MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MINH PHAM Owner 727-286-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2024-04-29 |