| NPI | 1760988802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XHOANA GJELAJ-VARFI Owner 727-228-6846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL dn18307) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2020-06-17 |