| NPI | 1518088095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH PRIMO HUNT Office Manager 407-843-4091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL 7801) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2013-02-28 |