| NPI | 1114750890 |
|---|---|
| Former Legal Business Name | MID-FLORIDA ENDODONTICS-MT DORA, P.A. |
| Entity Type | Organization |
| Authorized Contact | ALEC DAVID DU LAC Office Admin 407-788-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2025-04-22 |