| NPI | 1649564840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WELDON Dentist 352-622-3236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN18442) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: FL DN6291) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |