| NPI | 1861739179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAI HUYNH-LE Owner/Dentist 239-263-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16365) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |