| NPI | 1992724116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. GREIDER Owner 239-334-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 8703) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |