| NPI | 1528601309 |
|---|---|
| Doing Business As | UNIVERSAL DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | MARGARITA M RIVERA President 407-248-0484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2021-10-13 |