NPI | 1013047687 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK A STEELE President Secretary 352-787-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0012246) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2013-01-30 |