| NPI | 1467520619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERTO L RIVERA President 813-933-5331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN-15856) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |