| NPI | 1487666855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO M BIRD President 727-581-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL AB3227231) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |