| NPI | 1548217565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA P VERGARA President 813-852-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 15886) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2012-10-29 |