| NPI | 1629460266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VYASA RAMCHARAN President 407-599-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN11869) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |