| NPI | 1417385543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN CONDORI President 239-455-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN 12445) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |