| NPI | 1912217753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PEREZ Dentist 941-751-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn15530) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |