| NPI | 1417061367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASMIN RAB AHMED Dentist 407-843-7426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN13932) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2015-02-11 |