| NPI | 1861878407 |
|---|---|
| Doing Business As | CLERMONT PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JULIE M RUSSO Owner 352-241-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |