| NPI | 1568610293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALA ALLAN FALLAH Owner 352-494-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 17085) |
| Enumeration Date | 2008-09-06 |
| Last Update Date | 2008-12-02 |