NPI | 1063769511 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS C SILVER CEO / Dentist 727-577-4911 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2012-08-14 |
Last Update Date | 2012-08-14 |