| 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 |