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 |