| NPI | 1619232527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JOSEPH DIMEO President / Practice Owner 772-266-0962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18566) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |