| NPI | 1023720539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAYNE ROWE President 727-327-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2022-12-15 |