| NPI | 1467587626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD DAVIS President 727-343-1138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN4287) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |