| NPI | 1063547875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A HAUS Owner Dentist 352-596-1561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 5394) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-06-18 |