| Young Smiles Pediatric Dentistry & Spa P.a | |
|
13131 Kings Lake Dr Suite # 104 Gibsonton FL 33534-3959 | |
| (813) 829-9075 | |
| (813) 236-9006 |
| Full Name | Young Smiles Pediatric Dentistry & Spa P.a |
|---|---|
| Speciality | Dentist |
| Location | 13131 Kings Lake Dr, Gibsonton, Florida |
| Authorized Official Name and Position | Kera Young (PEDODONTIST) |
| Authorized Official Contact | 8138299075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Smiles Pediatric Dentistry & Spa P.a Po Box 486 Lithia FL 33547-0486 Ph: (813) 829-9075 | Young Smiles Pediatric Dentistry & Spa P.a 13131 Kings Lake Dr Suite # 104 Gibsonton FL 33534-3959 Ph: (813) 829-9075 |
| NPI Number | 1225468242 |
|---|---|
| Provider Enumeration Date | 11/13/2013 |
| Last Update Date | 11/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225468242 | NPI | - | NPPES |
| 070219600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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