| NPI | 1346677200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO A PAIROT President 386-277-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN12941) |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |