| NPI | 1336460690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MILLER DONATO President 813-872-7909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN14844) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |