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 |