| NPI | 1184806010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY N BORGANELLI President Of Corporation 386-752-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN12271) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |