| NPI | 1174944151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALPESH MEHTA Owner / Partner 407-829-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: FL DN17281) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |