| NPI | 1245383157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE M LEVINE Office Coordinator 407-294-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 12997) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-05-29 |