| NPI | 1285024265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. SCOTT MALONEY Dentist 941-729-6883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL 9808) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |