| NPI | 1710061106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HARRIS PAUL President 863-665-6201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 12035) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |