| NPI | 1346728425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL BULNES President 813-259-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 15541) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |