| NPI | 1992112353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE J MEADOWS Managing Member 941-745-1143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN1634) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN15677) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN12725) | |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |