| NPI | 1053425835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON SHARP WILKINS Dentist/Owner 407-644-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL DN6183) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |