NPI | 1801966551 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY NEIL LANG President 407-365-6691 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL FL7994) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2020-08-22 |