| NPI | 1356547418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAURA TIRADO VELAZQUEZ President 407-343-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12467) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2015-09-02 |