| NPI | 1053525329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY L STONEKING President 727-381-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 4166) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |