| NPI | 1851709463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RYON SIMPSON President 407-977-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN14132) |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2014-07-27 |