| NPI | 1134503246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ANTONIO RIVERO CEO/Owner 407-923-7433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN19106) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |