| NPI | 1336174846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN N TAYLOR Oral Surgeon 352-378-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DM13187) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN4270) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |