| NPI | 1528819554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIDY FERNANDA RIANO GALEANO Doctor Of Dental Surgery 407-519-0634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |