NPI | 1336497064 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRIANA GABALDON General Dentist 239-455-1018 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN 18595) |
Enumeration Date | 2012-08-28 |
Last Update Date | 2012-08-28 |