| NPI | 1801912233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS RODOLFO ORTIZ President 407-654-4024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN16410) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2011-07-25 |