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 |