| NPI | 1780994897 |
|---|---|
| Doing Business As | SUNCOAST MOBILE DENTAL VAN |
| Entity Type | Organization |
| Authorized Contact | ROBERT R RODRIGUEZ CFO 813-349-7563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |