NPI | 1528281755 |
---|---|
Entity Type | Organization |
Authorized Contact | EDMOND J ALLISON President,Owner 239-772-5005 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0011550) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |