| NPI | 1902162027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEESHA FREIMUTH Dentist 352-572-1619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN15972) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |