| NPI | 1760183800 |
|---|---|
| Doing Business As | PROSTHODONTICS & IMPLANT DENTISTRY, PA |
| Entity Type | Organization |
| Authorized Contact | VIET HO President 863-294-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2024-01-23 |