| NPI | 1861614356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMILLA SZTANKO General Dentist 727-789-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 11530) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-09-10 |