NPI | 1194187005 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWIN JOHN SZCZEPANIK Owner 407-352-6888 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL 8437) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2016-03-22 |
Last Update Date | 2016-03-22 |