| NPI | 1437432713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONIDES SANDOVAL Manager 407-654-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN13000) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |