| NPI | 1164712881 |
|---|---|
| Former Legal Business Name | CITRUS DENTAL ASSOCIATION, P.A. |
| Entity Type | Organization |
| Authorized Contact | EDWIN HOLLAND Owner 352-726-5854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL 5731) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |