NPI | 1801941646 |
---|---|
Doing Business As | HYDE PARK DENTAL |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER J PATRINO President 813-251-3911 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN14773) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-08-22 |