| NPI | 1538448576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK M. FERRY Owner 863-533-2185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN17361) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |