| NPI | 1053106195 |
|---|---|
| Former Legal Business Name | MID-FLORIDA ENDODONTICS - CLERMONT PA |
| Entity Type | Organization |
| Authorized Contact | ALEC DAVID DU LAC Office Admin 407-803-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-04-22 |