| NPI | 1841462777 |
|---|---|
| Doing Business As | ALTA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LEONIDES SANDOVAL President 407-774-9872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN13000) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |