Dental Excellence at Fishhawk

NPI #1952502742 in Lithia, Florida

Provider Information

NPI Number: 1952502742
Entity Type: Organization
Organization Name: Dental Excellence at Fishhawk
Primary Specialty: Dentist
Enumeration Date: May 30, 2007
Last Updated: Jul 10, 2008

Practice Location

Address: 5486 LITHIA PINECREST RD
City: Lithia
State: Florida
ZIP Code: 33547-2853
Phone: (813) 571-5555

Authorized Official

Name: DR. RICHARD MICHAEL KERNAGIS
Title: DMD
Phone: (813) 571-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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