Young Smiles Pediatric Dentistry & Spa P.a

NPI 1225468242 - Dentist - 122300000X

NPI Details
NPI 1225468242
Enumeration Date 11/13/2013
Last Updated 11/13/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name KERA KERA
Position PEDODONTIST
Phone (813) 829-9075
Fax (813) 236-9006
Practice Location
13131 KINGS LAKE DR
SUITE # 104
GIBSONTON FL, 33534-3959, US
Phone (813) 829-9075
Fax (813) 236-9006
Business Location
PO BOX 486
LITHIA FL, 33547-0486, US
Phone (813) 829-9075
Fax (813) 236-9007
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Young Smiles Pediatric Dentistry & Spa P.a NPI is 1225468242, taxonomy code is 122300000X Young Smiles Pediatric Dentistry & Spa P.a physically located at 13131 Kings Lake Dr, Gibsonton FL, 33534-3959. NPI Number 1033115704 has the healthcare provider type.

1225468242 NPI number is provided on an as is basis without warranty of any kind. 1225468242 is maintained by the National Plan & Provider Enumeration System. The contents of Young Smiles Pediatric Dentistry & Spa P.a are for informational purposes only.