NPI | 1205969722 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW J MARTINEAU Director 941-957-3703 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN12356) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2012-01-10 |