| NPI | 1710028048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LYNN GORDON Dental Hygienist 727-393-7269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DH19214) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-06-16 |