| NPI | 1013017201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY G LANGSTON President 727-579-8487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN9112) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |