| 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 |