| NPI | 1629320668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDRE FLORANT BALUYOT President 352-514-6654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19703) |
| Enumeration Date | 2012-10-14 |
| Last Update Date | 2012-10-14 |