| NPI | 1083871446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN P HOLMES Operations Manager 813-636-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15675) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |