| NPI | 1659886034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALASTIN ABU-SAMN Dentist/Owner 407-417-0847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: FL DN22279) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |