| NPI | 1770616856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY I ALTSCHULER President 352-371-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN12257) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-11-11 |