NPI | 1881068559 |
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Doing Business As | INNOVATIVE DENTAL & PROSTHODONTICS, INNOVATIVE ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | AMIT KAMAT Dentist 813-528-6955 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL DN18557) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN18706) |
Enumeration Date | 2015-11-18 |
Last Update Date | 2015-12-13 |