| NPI | 1902629710 |
|---|---|
| Doing Business As | CELEBRATION PEDIATRIC DENTISTRY LAKE NONA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL GOOCH Owner 407-566-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |