| NPI | 1194138917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN E MEJIAS President 813-994-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18930) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |