NPI | 1780088575 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY MARRA PERRON Owner 941-749-7638 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 11507) |
Enumeration Date | 2014-10-22 |
Last Update Date | 2014-10-22 |