| NPI | 1255501342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE EDWARD DAVID PETERS Surgeon 813-870-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL 13473) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |