| NPI | 1598284903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA MORRIS Insurance Coordinator 352-732-4427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2022-07-21 |