| NPI | 1922411156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SCHIAPARELLI Chief Financial Officer 727-800-8040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 401005432) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2023-03-30 |