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 |