| NPI | 1427839596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE PEREIRA Owner 352-359-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223G0001X Dentist General Practice | |
| 1223P0106X Dentist Oral and Maxillofacial Pathology | |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223P0300X Dentist Periodontics | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| 124Q00000X Dental Hygienist | |
| 126900000X Dental Laboratory Technician | |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |