| NPI | 1528216470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B. CHURNEY President 727-799-6733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: FL DN10464) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |