| NPI | 1508012246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M. A. WOOD President 863-453-3258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN013202) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |