| NPI | 1710360870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDOLPH LEVI TWIGGS Dentist 813-933-6825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN8291) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |