| NPI | 1245987080 |
|---|---|
| Doing Business As | THE DENTAL EXTRACTION CLINIC |
| Entity Type | Organization |
| Authorized Contact | CARLOS ANTONIO RIVERO Director 407-923-7433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2025-04-01 |