| NPI | 1003824087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE B EHRLICH Orthodontist Owner 941-485-7006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN7848) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN14935) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |