| NPI | 1710336466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SCHIAPARELLI Chief Financial Officer 727-800-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2023-03-30 |