| NPI | 1083988976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH THIEN VU Dentist/President 941-776-9145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN16091) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |