| NPI | 1285660340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS A VINCENZO Dentist/Owner 772-220-3720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN10184) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-22 |