| NPI | 1467963843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ASSING Owner 813-685-6139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL FL10434) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |