NPI | 1902248149 |
---|---|
Doing Business As | WINTER HAVEN DENTAL |
Entity Type | Organization |
Authorized Contact | RASSEL ELHAMARNAH Owner 863-299-1579 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 124Q00000X Dental Hygienist |
126800000X Dental Assistant | |
Enumeration Date | 2013-07-29 |
Last Update Date | 2013-07-29 |