NPI | 1336327311 |
---|---|
Doing Business As | PALM LAKE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | GREGORY R FILION Owner 727-785-6511 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 12449) |
Enumeration Date | 2008-02-01 |
Last Update Date | 2008-06-16 |