| NPI | 1811134067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D. HOSNER President 352-795-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 10526) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI MI 14091) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |