| NPI | 1316152192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WALKER HOLMES President 941-795-6535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN-10682) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |