| NPI | 1356644850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD FLETCHER President 352-732-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN000-5490) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |