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 |