NPI | 1588798342 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY L. KALIMNIOS Dentist 321-259-2161 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 15187) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |