NPI | 1104944719 |
---|---|
Entity Type | Organization |
Authorized Contact | KHOI J DOAN President 813-935-1811 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN13830) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2008-08-25 |