Organization
GRINS AND GIGGLES PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISSA DRAGSTEDT (PEDIATRIC DENTIST)
(352) 316-7400
Entity
Organization
Contact information
Practice address
231 NW 137TH DR, JONESVILLE, FL 32669-2662
(352) 316-7400
Mailing address
231 NW 137TH DR, JONESVILLE, FL 32669-2662
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN17156
FL
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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