| NPI | 1295172195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CAREY BONHAM Owner 727-581-1869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN17527) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |