| NPI | 1881053965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAP S HAN Vice President 407-290-9568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19149) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN14401) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |