| NPI | 1396863452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM K BELTON President 813-689-5098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 8834) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |