NPI | 1982897633 |
---|---|
Doing Business As | SUNCOAST DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | WAYNE H KEHM Owner 727-321-4850 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL FL5865) |
Enumeration Date | 2007-08-24 |
Last Update Date | 2007-08-24 |