| NPI | 1093155236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A GAETA Owner 941-426-1134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn11262) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN7845) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |