| NPI | 1396377172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANGEL FERNANDEZ-MARTINEZ President/Owner 352-727-8547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |