| NPI | 1467461673 |
|---|---|
| Other Name | KATHLEEN O'CONNOR |
| Entity Type | Organization |
| Authorized Contact | RONALD L KOHLBRAND President/Dentist 321-632-5323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN12166) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN13964) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |