| NPI | 1477895464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY ACOSTA Dentist 863-662-9973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16643) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |