| NPI | 1770628372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER LASCHEID President 772-546-8515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 11109) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |