| NPI | 1285000141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK PALACIOS Dentist 407-277-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN20651) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |