| NPI | 1306202759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A SCHWERER Owner 772-461-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN10628) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |