| NPI | 1548673742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADSTON SILVA President 386-274-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN19869) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |