| NPI | 1023042967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOLAN W ALLEN Owner 727-797-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |