NPI | 1053841718 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLISON MARIE BELANGER Business Administrator 407-365-6691 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2017-06-15 |
Last Update Date | 2022-07-21 |