| NPI | 1326762030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE FABIO DE MORAES NETO CEO 407-837-5818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 126900000X Dental Laboratory Technician |
| Additional Taxonomies | 292200000X Dental Laboratory |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |