| NPI | 1417017484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELLA E TOMLINSON Owner 813-209-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 11532) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |