NPI | 1336369354 |
---|---|
Entity Type | Organization |
Authorized Contact | R R REED President 352-732-5111 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 5294) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2020-08-22 |