| NPI | 1538577283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS G ACOSTA Dentist/Owner 407-645-4741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 14814) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |