| NPI | 1871513184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAL JEFFREY LEVINE President 407-352-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-11-19 |