| NPI | 1255508776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LAWRENCE SNYDER President 239-540-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN8756) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |