NPI | 1467753681 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY JOSEPH AULETTA Owner 727-397-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL 10436) |
Enumeration Date | 2010-11-04 |
Last Update Date | 2012-10-25 |