| NPI | 1609033380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO J MARCANO-SOLTERO Owner 941-907-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL dn15046) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |