| NPI | 1205955853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH E PYLE Dental Director 407-330-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN6106) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |