NPI | 1740403492 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL J YANTORNI President Owner 407-277-1779 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN11000) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN16803) |
1223G0001X Dentist, General Practice (Licence: FL DN17985) | |
Enumeration Date | 2007-04-11 |
Last Update Date | 2008-12-10 |