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 |