| NPI | 1154740736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAYDE MIREYA TOQUICA Owner 407-405-4084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL dn19499) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |