| NPI | 1437419298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILAS EDWARD MCANINCH Owner 941-953-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN 10570) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |