| NPI | 1447726922 |
|---|---|
| Doing Business As | HI-5 CHILDREN'S DENTISTRY AT LAKE NONA ORLANDO |
| Entity Type | Organization |
| Authorized Contact | MIGUEL TABARES Mgrm 407-810-0467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |