| NPI | 1255848768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUY NGUYEN General Dentist 727-388-3429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN21089) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |