NPI | 1306290523 |
---|---|
Entity Type | Organization |
Authorized Contact | IGNACIO ALBERTO BAEZ Owner 407-310-6627 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN0007199) |
Enumeration Date | 2016-04-14 |
Last Update Date | 2016-04-14 |