| NPI | 1417188145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO L. DURAN Dentist 352-735-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN10275) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |