| NPI | 1710104823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TROUP DAVIS President, Owner 239-262-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL DN15612) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |