| NPI | 1679817951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSMITA PARAB President & CEO 407-491-5298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS036662) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |