| NPI | 1225432214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA MARTINEZ Dentist/President 813-605-2573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18604) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2015-06-25 |