| NPI | 1790855633 |
|---|---|
| Doing Business As | COLONY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DON J ILKKA Secretary 352-787-5084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN9239) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-01-20 |