| NPI | 1477944742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PEREZ Doctor, Dmd/President 813-422-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN15530) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-09-28 |