| 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 |