NPI | 1700133444 |
---|---|
Doing Business As | CONCORD DENTAL |
Entity Type | Organization |
Authorized Contact | CAROLYN T NGUYEN President/Owner 407-896-3393 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN15308) |
Enumeration Date | 2012-08-13 |
Last Update Date | 2012-08-13 |