| NPI | 1033402946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE SEDAROS President 321-610-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: FL DN16845) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |