| NPI | 1700959913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDIN MANALO General Dentist 407-246-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12921) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2013-09-11 |