| NPI | 1336374677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MICHAUD Endodontist 239-482-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN17436) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |