Organization
CARR PEDIATRIC DENTISTRY, PA
Active
Other names
Carr Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE CARR BUSTILLO DDS, MS (PRESIDENT)
(813) 672-3368
Entity
Organization
Contact information
Practice address
11936 BOYETTE RD, RIVERVIEW, FL 33569-5601
(813) 672-3368
Mailing address
11936 BOYETTE RD, RIVERVIEW, FL 33569-5601
(813) 672-3368
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
FL
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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