| NPI | 1053995886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE RAFAEL NAVARRO Orthodontist/President 813-321-0084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2023-06-19 |