NPI | 1457726911 |
---|---|
Entity Type | Organization |
Authorized Contact | BILL LAYMAN Owner 727-399-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 15686) |
Enumeration Date | 2015-12-09 |
Last Update Date | 2015-12-10 |