NPI | 1821520693 |
---|---|
Doing Business As | ORLANDO LIFESTYLE DENTISTRY |
Entity Type | Organization |
Authorized Contact | MICHAEL GAGAOUDAKIS President 954-830-0030 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN17757) |
Enumeration Date | 2017-03-31 |
Last Update Date | 2017-03-31 |