| NPI | 1033562871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON AMIR Dentist/Owner 352-877-4926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16267) |
| Enumeration Date | 2016-07-17 |
| Last Update Date | 2016-07-17 |