| NPI | 1043925316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN OJEDA Owner 407-797-1543 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2024-08-08 |