| NPI | 1235247446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ANTHONY TWARGOSKI Vice President 941-493-5495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN13725) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN13545) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-08-22 |