| NPI | 1790060796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK CARMEN PETTINATO Managing Partner 727-834-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN15905) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2017-04-26 |