| NPI | 1447468327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY S. DYER Owner 813-963-0984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN11008) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2016-04-19 |