| NPI | 1821264409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN LIPKIN Business Mgr 407-423-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN 14384) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |