| NPI | 1689160434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI VARGAS Office Manager 407-886-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN13576) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |