| NPI | 1467795435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMMIE BARAN Practice Administrator 941-536-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN0010939) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |