| NPI | 1568586915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON M PREBLE President 407-831-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12042) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |