NPI | 1841925526 |
---|---|
Doing Business As | TOOTHASAURUS CHILDRENS DENTISTRY |
Entity Type | Organization |
Authorized Contact | TIERNEY PETTINATO Dentist 813-778-3140 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2022-07-18 |
Last Update Date | 2023-08-17 |