| NPI | 1346249901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R. BURKS Dentist 407-327-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 8122) |
| Enumeration Date | 2005-07-17 |
| Last Update Date | 2015-05-18 |