| NPI | 1619144797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG A. ENGELMAN President 727-398-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL D10482) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |