| NPI | 1427782705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE PAWLAK Orthodontist 352-262-8306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-09-02 |