| NPI | 1760535819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC C CHENET President 321-253-3136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN13349) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2020-08-22 |