NPI | 1922608736 |
---|---|
Former Legal Business Name | MID-FLORIDA ENDODONTICS - WINTER GARDEN PA |
Entity Type | Organization |
Authorized Contact | ALEC DAVID DU LAC Office Manager/Marketing 386-789-3636 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics |
Enumeration Date | 2020-10-30 |
Last Update Date | 2025-04-22 |