Organization
VIERA PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSHITA PATEL HOSKING DDS, MPH (OWNER)
(321) 417-0107
Entity
Organization
Contact information
Practice address
5600 PORADA DR STE 102, VIERA, FL 32940-8082
(321) 417-0107
Mailing address
5600 PORADA DR STE 102, VIERA, FL 32940-8082
(321) 417-0107
(321) 417-0107
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H252-975-84-952-0
DRIVERS LICENSE
FL
Enumeration date
03/15/2019
Last updated
06/11/2019
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