| NPI | 1275844581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY EKSTRAND Dentist 352-795-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN10736) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: FL DN17798) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |