| NPI | 1740568187 |
|---|---|
| Doing Business As | FORTUNE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LINA SEGURA Office Manager 407-348-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN16387) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN16586) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2015-09-02 |