| NPI | 1699121574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA GABALDON Owner / General Dentist 239-455-1018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN18595) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |