Organization
DRADAK ENTERPRISES
Active
Other names
Smile Cove Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW DIETRICH (PRESIDENT)
(863) 398-0013
Entity
Organization
Contact information
Practice address
401 S PARSONS AVE STE A, BRANDON, FL 33511-5241
(813) 880-0100
Mailing address
330 E HIGHLAND DR, LAKELAND, FL 33813-1727
(863) 398-0013
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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