| NPI | 1205901055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MICHAEL ACHONG President 352-243-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN16913) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2011-06-30 |