| NPI | 1740782408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS TANNER ENFINGER Owner/Dentist 407-352-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN16710) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |