| NPI | 1588086946 |
|---|---|
| Doing Business As | AVON DENTAL P.C. |
| Entity Type | Organization |
| Authorized Contact | SIDDHARTH BANSAL Secretary 352-872-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019028736) |
| Enumeration Date | 2014-01-19 |
| Last Update Date | 2014-01-19 |