NPI | 1245795194 |
---|---|
Entity Type | Organization |
Authorized Contact | LILLELENNY SANTANA President 407-907-6361 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2019-02-05 |
Last Update Date | 2019-02-05 |