| NPI | 1831258847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A. KIRKWOOD Owner 813-818-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn014190) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-08-14 |