| NPI | 1700104510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R. ONG President 407-275-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN17749) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |