| NPI | 1548327695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A PARKER Corporate Officer 352-732-3985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN11335) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2020-08-22 |