| 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 |