NPI | 1902798903 |
---|---|
Doing Business As | KID ONLY DENTAL PLACE |
Entity Type | Organization |
Authorized Contact | ALICIA JESSICA MOORE Pediatric Dentist 352-335-7777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2025-07-16 |
Last Update Date | 2025-07-16 |