NPI | 1902162027 |
---|---|
Doing Business As | FREIMUTH FAMILY DENTAL |
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 |