NPI | 1669652772 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY FINE ANDERSON Orthodontist President 727-381-1240 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN14252) |
Enumeration Date | 2007-11-06 |
Last Update Date | 2007-11-06 |