| NPI | 1235204017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B AMLEY Secretary/Treasurer/Partner 727-381-1062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN4233) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN5143) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-09-09 |