| NPI | 1184034720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HOWARD HARDEMAN President 407-625-3646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-07-23 |