| 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 |