| NPI | 1295053809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA T LUONG Dentist 352-350-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15788) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |