| NPI | 1285200782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANDREW HESS Owner 727-743-8307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |