NPI | 1952664633 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE M KLINGBEIL Office Manager 407-352-4800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: FL DN0011960) |
Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: FL DN17380) |
1223P0221X Dentist Pediatric Dentistry (Licence: FL DN18711) | |
Enumeration Date | 2012-06-19 |
Last Update Date | 2012-06-19 |