| NPI | 1508233305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRUZ M CEINO President 813-887-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL dn17860) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |