| NPI | 1124215892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEORAJ R LALL Vice President 407-330-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15198) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |