| NPI | 1497369128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LILIANA VARELA Dentist 407-473-5615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2023-05-31 |