| NPI | 1841492956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA OVERBECK President 941-488-8788 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN 10080) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2008-08-06 |