| NPI | 1861202467 |
|---|---|
| Doing Business As | 850 MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TOBY THOMSON Dentist 813-928-3351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-08-15 |