| NPI | 1558570903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE ROMEU President CEO 904-262-9464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN 9709) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-05-07 |