| NPI | 1538399324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO OLMOS General Dentist 407-857-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16586) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |