| NPI | 1053598334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BREWER Owner/Dentist 941-922-9332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN13465) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |