| NPI | 1629112875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL SEDLAK Dentist 352-344-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN11363) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2013-05-20 |