| NPI | 1023102134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARAT MICHAEL KOYFMAN Owner President 407-841-9435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16183) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |