| NPI | 1427132117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH WILLIAM KNOPF Owner President 352-377-1705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN008805) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN17110) |
| 122300000X Dentist (Licence: FL DN18867) | |
| 122300000X Dentist (Licence: FL DN19319) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-12-01 |