| NPI | 1871362632 |
|---|---|
| Doing Business As | LAND O LAKES PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NELLIE LIN Director Of Operations 813-579-8492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2023-12-21 |