| NPI | 1528071305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP LEWIS MARSHALL Dentist/Partner 941-629-8187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0011485) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |