| NPI | 1831459551 |
|---|---|
| Doing Business As | WINDERMERE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW DEAN MCKISSOCK Owner/President 407-909-1099 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN16810) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |