| NPI | 1639675028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN OJEDA Owner 407-797-1543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2025-01-27 |