| NPI | 1376702332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA RUDMAN Owner 727-323-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 12243) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2010-12-30 |