| NPI | 1548470784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO MALLARE GAPUZ Dentist 407-251-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN13068) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |