| NPI | 1346427416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY GRAPER President 352-331-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL ME0045100) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-03-13 |