| NPI | 1598302705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL F ECKSTEIN Dentist 727-319-6019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |