| NPI | 1043354574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARGARETHA SIMPSON Data Input 941-918-1416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16207) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN13189) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2010-06-28 |