| NPI | 1982909412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER GERALD FLETCHER President 352-732-5646 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 000-5491) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |