| NPI | 1285237347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE J VALLE Doctor, Manager 407-617-3726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2024-02-13 |