| NPI | 1124122569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LOUISE HANNAH-JONES President 813-977-4819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN0012708) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-11-12 |