| NPI | 1881022614 |
|---|---|
| Doing Business As | SOUTH TAMPA DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOSHUA A WYATT President/Owner 850-501-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN18714) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |