| NPI | 1386837755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES D THOMAS President 352-628-5635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN8629) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |