| NPI | 1013211309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA LYNN MILLER President 407-803-2904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: FL DH8826) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 12608) |
| Enumeration Date | 2010-12-31 |
| Last Update Date | 2010-12-31 |