| NPI | 1821318031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH E PYLE President 407-855-0474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 6106) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 3075) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |