| NPI | 1205949666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COLE VP Insurance Plan Management 727-726-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2013-12-10 |