| NPI | 1962694000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GOLDIE President 407-363-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 8797) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2009-09-17 |