NPI | 1346799079 |
---|---|
Entity Type | Organization |
Authorized Contact | GABRIEL JOSHUA SANGALANG Owner 407-327-9566 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: IL DN19152) |
Enumeration Date | 2016-09-22 |
Last Update Date | 2016-09-27 |