| NPI | 1730399031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY T NGUYEN President 407-327-1964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 15581) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-12-13 |