| NPI | 1740477181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILEEN TRIVEDI President/Owner 407-898-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16463) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |