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 |