| NPI | 1811092893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ROSE ISAACS President 407-696-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 13097) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |