| NPI | 1790142065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE GEORGE SCHROPP President 321-255-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: FL 12963) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |