| NPI | 1568878759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN FIGUEROA Doctor Director 407-542-4934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN12317-99913) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 1223G0001X Dentist, General Practice | |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |