| NPI | 1790130789 |
|---|---|
| Doing Business As | GULF COAST PEDIATRIC DENTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | OLAMIDE OSUNDOLU ATANDA Owner 352-333-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 30734) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |