| NPI | 1366674749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FLOYD BATTLE Owner 727-327-5561 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2020-07-13 |