NPI | 1194156224 |
---|---|
Entity Type | Organization |
Authorized Contact | MEREDITH GOODRICH President 352-376-3216 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16117) |
Enumeration Date | 2013-11-27 |
Last Update Date | 2013-11-27 |