| NPI | 1164726873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A RAWLE President 407-682-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN18912) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |