| NPI | 1437361276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY W. O'LEARY Orthodontist 941-627-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: FL DN11658) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-09-25 |