| NPI | 1366827115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EDWARD FISCHER Dentist 239-694-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN13894) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |