NPI | 1215028485 |
---|---|
Entity Type | Organization |
Authorized Contact | HOWELL C. MORRISON Owner 813-876-1371 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 10121) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2012-02-29 |