NPI | 1063671428 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT MICHAEL MICHAUD President 813-935-3585 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN17693) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2008-06-02 |