| NPI | 1558064345 |
|---|---|
| Doing Business As | 434 DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | FABIOLA CAMACHO Owner 407-327-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-03-22 |