| NPI | 1841722584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY S WEBER Owner/Practice Administrator 352-596-7388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN8612) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |