| NPI | 1740676865 |
|---|---|
| Doing Business As | CONWAY OAKS DENTAL |
| Entity Type | Organization |
| Authorized Contact | FAY HEMPSTEAD COLLINS Owner/President 407-277-0981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN 18832) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN15637) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |