| NPI | 1215200084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABIL NAGUIB YOUSSEF Owner/Dentist 407-426-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL DN16092) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |