| NPI | 1609987817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ROCO PAULMINO Director Dentist 727-320-8831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN15472) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |