| NPI | 1023280641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHRISTIAN STOROE President 352-371-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |