| NPI | 1114167079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN THAI-HOA HOAN Dentist/President 407-366-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15984) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN17157) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |