| NPI | 1528111671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H JOHN RICHMOND President 941-761-9603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN12393) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2007-08-06 |