| NPI | 1063528149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY MARTIN RUBENSTEIN President 352-242-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: FL 5309) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |