| NPI | 1588878441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR L BRICENO Oral Surgeon 407-656-9455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL 07-00004492) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2010-05-18 |