| NPI | 1710004171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY FREEMAN Insurance Counsler 407-656-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn12260) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |