| NPI | 1407704885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES GUERRA ANDRADE President 813-528-5471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2026-03-20 |
| Last Update Date | 2026-03-20 |