| NPI | 1083912539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RENDE Dentist/Owner 813-935-9414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn10826) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-29 |