| NPI | 1447387840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M PAUL NESTOR President 813-839-8140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 2396) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-12-13 |