NPI | 1316348956 |
---|---|
Entity Type | Organization |
Authorized Contact | MIRALYS M CHARDON Dentist 407-857-9888 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN18752) |
Enumeration Date | 2014-09-15 |
Last Update Date | 2014-09-15 |