| NPI | 1871017566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ANTHONY VARELA Partner 407-613-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN22914) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN22828) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2022-07-21 |