| NPI | 1790053312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY HORN Owner/Administrator 941-926-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN13472) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2012-11-27 |