| NPI | 1053540153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX FORNI President 863-676-6021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15652) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN18156) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |