| NPI | 1447520804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVYN WEINSTOCK Owner 727-392-7734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN0009925) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |