| NPI | 1437363082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L MCINTOSH President 407-644-8786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN0012362) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |