| 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 |