| NPI | 1447625579 |
|---|---|
| Doing Business As | DENTOFACIAL INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL HASHEMIAN Owner 352-688-4556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2016-02-19 |