| NPI | 1073991204 |
|---|---|
| Doing Business As | VILLAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | RICHARD PHILLIP HALL Vice President 352-205-7667 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |