| NPI | 1396133724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL HAMEED KHAN President 727-364-5697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 9928) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |