| NPI | 1497938054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT T BAUR Vice President 813-907-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL 17788) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |