| NPI | 1114211273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM B DUNN Owner 407-515-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN16156) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |