| NPI | 1629082037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL CAMERON SCALERA Owner 321-259-3283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN10620) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-06-22 |