NPI | 1760509608 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT MICHAEL BLISS President 407-366-3799 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN0013447) |
Enumeration Date | 2007-03-24 |
Last Update Date | 2016-02-10 |