| NPI | 1548654502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURNIMA J SHETH President 407-363-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL Dn12966) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |