NPI | 1225146236 |
---|---|
Entity Type | Organization |
Authorized Contact | CARA OVERBECK President 941-488-8788 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN 10080) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2009-06-03 |