| NPI | 1144325317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE C. ZANELLA Office Mgr 727-446-7332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12230) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN 12230) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2012-01-09 |