| NPI | 1316144496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANNE SULLIVAN President 352-372-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: FL DN10647) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2008-07-15 |