| NPI | 1164561809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. VALANCIUS Dentist 813-963-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN9748) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-02-16 |