| NPI | 1083004089 |
|---|---|
| Doing Business As | FLORIDIAN DENTAL |
| Entity Type | Organization |
| Authorized Contact | KARI MOSS VINUELA Manager 352-258-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN19133) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |