| NPI | 1538346424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIEN S. JOHNSON, 111 Dentist 407-282-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0013457) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |