| NPI | 1497113963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY C LEVINE Provider 813-985-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN8309) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |