| NPI | 1376847046 |
|---|---|
| Former Legal Business Name | CENTRAL FLORIDA |
| Entity Type | Organization |
| Authorized Contact | MARITZA DEJESUS President 407-826-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL dn13313) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |