| NPI | 1194767707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W SCHMID Manager 321-725-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: FL DN7413) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2014-05-19 |