| NPI | 1194878462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ORTA Owner 813-238-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN14351) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-06-23 |