| NPI | 1427413681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD MARCUS COPELAND President 813-879-7167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN15386) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |