NPI | 1417373762 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM NICHOLAS SULLIVAN Owner 239-597-4944 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN14951) |
Enumeration Date | 2014-03-11 |
Last Update Date | 2014-03-11 |