| NPI | 1558332056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESMOND EDWARD BLANTON Owner 352-728-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN0007820) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2007-07-13 |