| NPI | 1073875480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L KALIMNIOS Dentist/President 321-433-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN19254) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN15187) |
| 122300000X Dentist (Licence: FL DN19217) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |