| NPI | 1568506509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELA MARIA TORRES-MOORE President 863-669-5046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL DN14673) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2012-06-19 |