| NPI | 1033360151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALAN BAKER Dentist 407-758-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL Dn 10245) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |