| NPI | 1255718987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIE AVOLA Owner/Manager 239-261-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN 8028) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |