| NPI | 1710244702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EDWARD GONZALEZ President 813-685-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL dn6377) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |