| NPI | 1285970335 |
|---|---|
| Doing Business As | SRQDENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SUSAN GILLELAND President 941-966-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 12904) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |