| NPI | 1598039489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI DYER Financial Co Ordinator 352-382-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN7451) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |