| 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 |