| NPI | 1750525465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA DOMINQUEZ Owner 352-296-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN17518) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |