| NPI | 1366956914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ATKINSON Clinical Director 407-719-1982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN17412) |
| Enumeration Date | 2017-11-18 |
| Last Update Date | 2021-01-31 |