| 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 |