NPI | 1841495124 |
---|---|
Entity Type | Organization |
Authorized Contact | GINGER R CHASOLEN Owner Partner 941-957-0073 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL DN13735) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: FL DN13718) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2020-08-22 |