| NPI | 1487081352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA J TARVER Owner 352-274-9731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19038) |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |