Organization · Type 2 NPI

Countryside Mall Dental PA

General Practice Dentistry · Clearwater, FL

NPI number 1568023067 Active

About NPI 1568023067

Countryside Mall Dental PA's National Provider Identifier is 1568023067, issued on Jun 25, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Clearwater, FL. The record was last updated on Jun 25, 2019.