| NPI | 1669681227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE NICOLA DAVIDSON President 407-884-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 0012300) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-12-05 |