| NPI | 1659638484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE DIAZ Insurance Front Desk 407-423-7667 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL dn14384) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |