| NPI | 1215195581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN PRYOR VANOVERBEKE Dentist 813-884-1419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN 14679) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |