| NPI | 1275867269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H LESLIE President 941-795-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN9134) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |