| NPI | 1841574845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MEADOWS Owner/Dentist 941-745-1143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL 16394) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL 19243) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: FL 19366) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 16697) | |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |