| NPI | 1780958355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURAIYA A KASU President 407-846-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 9376) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |