| NPI | 1154084473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST H. MCDOWELL Owner/ Provider 727-442-6298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |