| NPI | 1245501410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT JOSEPH MONTICCIOLO Owner/Dr. 727-422-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 014899) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |