Organization
DENTAL EXCELLENCE AT FISHHAWK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MICHAEL KERNAGIS (DMD)
(813) 571-5555
Entity
Organization
Contact information
Practice address
5486 LITHIA PINECREST RD, LITHIA, FL 33547-2853
(813) 571-5555
(813) 571-5559
Mailing address
5486 LITHIA PINECREST RD, LITHIA, FL 33547-2853
(813) 571-5555
(813) 571-5559
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15191
FL
Other
Enumeration date
05/30/2007
Last updated
07/10/2008
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