| NPI | 1487044939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E. FORD Owner 352-368-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN009052) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |