| NPI | 1023165669 |
|---|---|
| Doing Business As | VILLAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | RICHARD P HALL Vice President 352-753-7507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2011-08-10 |