Organization
HAPPY KIDS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRUZ M CEINO DMD (PRESIDENT)
(813) 887-5437
Entity
Organization
Contact information
Practice address
7715 W HILLSBOROUGH AVE, TAMPA, FL 33615-4715
(813) 887-5437
Mailing address
7715 W HILLSBOROUGH AVE, TAMPA, FL 33615-4715
(813) 887-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN17860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801991732
—
FL
05
—
1831326974
—
FL
Enumeration date
08/27/2015
Last updated
08/27/2015
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