NPI | 1013325265 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE DONALD WATERMAN President 813-689-8462 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN9391) |
Enumeration Date | 2014-07-31 |
Last Update Date | 2014-07-31 |