NPI | 1538338439 |
---|---|
Former Legal Business Name | MARVIN SLOTT DDS PA |
Entity Type | Organization |
Authorized Contact | MARVIN SLOTT President 352-331-2016 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN5801) |
Enumeration Date | 2008-02-25 |
Last Update Date | 2012-04-24 |