| 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 |