| NPI | 1700411857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIYAL POPAT Owner 407-758-5424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-05-11 |