NPI | 1578999652 |
---|---|
Entity Type | Organization |
Authorized Contact | VIVIAN A QUESADA-FOX President 727-347-6450 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 14650) |
Enumeration Date | 2013-09-19 |
Last Update Date | 2013-09-19 |