| NPI | 1730599887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN OLIVER COLEMAN Comprehensive Dentist 407-671-1017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 11787) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |