| NPI | 1689413403 |
|---|---|
| Other Name | DENTAL FACIAL REJUVENATION |
| Entity Type | Organization |
| Authorized Contact | NAOKO FUKUSHIMA Doctor 407-720-5812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |