NPI | 1992020986 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM L KOCHENOUR Owner/Orthodontist 727-796-2456 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN0008889) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN13311) |
Enumeration Date | 2010-04-01 |
Last Update Date | 2010-04-01 |