| NPI | 1841476728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER HOWARD KOSLEN President 239-594-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL dn13329) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |