| NPI | 1295194165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM STEIN Owner/Dentist 863-225-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN17747) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN16366) |
| 1223P0300X Dentist Periodontics (Licence: FL DN16925) | |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |