| NPI | 1548495591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMION WILLIAMS Dentist 407-330-4074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 16493) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |