| NPI | 1861403883 |
|---|---|
| Doing Business As | FAMILY AND COSMETIC DENTISTRY AT VISTA LAKES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MORRA Managing Partner 407-382-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN15714) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN15633) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |