NPI | 1538694658 |
---|---|
Doing Business As | FAMILY & COSMETIC DENTISTRY AT VISTA LAKES |
Entity Type | Organization |
Authorized Contact | MICHAEL JASON MORRA Dentist 407-382-2282 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15714) |
Enumeration Date | 2017-04-26 |
Last Update Date | 2017-04-26 |