| NPI | 1033516679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A FUEREDI Owner 239-775-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL DN0010263) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN0010283) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |