| NPI | 1053487843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELTON E. LYNCH President 863-385-7652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN10101) |
| Enumeration Date | 2006-11-26 |
| Last Update Date | 2020-08-22 |