| NPI | 1013139435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE CAYLOR Business Mgr 352-732-4427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN7673) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |