NPI | 1184957003 |
---|---|
Entity Type | Organization |
Authorized Contact | LEONARD L BRITTEN Pres. 813-949-8411 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN8120) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN18634) |
Enumeration Date | 2009-09-10 |
Last Update Date | 2009-09-10 |