| NPI | 1235301102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSA MORALES President 407-929-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL dn17264) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |